ENGERBERHT GRULLON MSN, APRN, ACNPC-AG
NPI 1487507646
Nurse Practitioner - Critical Care Medicine in Jacksonville, FL

Q: What is Engerberht Grullon's NPI number?

The NPI number for Engerberht Grullon is 1487507646. It was assigned to this individual provider in the NPPES registry on February 18, 2026.

Q: What is Engerberht Grullon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Active since February 18, 2026PECOS Enrolled

1443 SAN MARCO BLVD STE 101, JACKSONVILLE, FL 32207(904) 253-6910(904) 253-6910 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Engerberht Grullon Msn, Aprn, Acnpc-ag NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENGERBERHT GRULLON MSN, APRN, ACNPC-AG (NPI 1487507646) is an individual critical care medicine provider in Jacksonville, Florida, licensed in Florida (APRN11044708) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487507646

Entity TypeIndividualMale

Primary Taxonomy363LC0200X

Provider Legal NameENGERBERHT GRULLONCredential: MSN, APRN, ACNPC-AG

Location Address1443 SAN MARCO BLVD STE 101Jacksonville, FL 32207-8535

Mailing Address1443 San Marco Blvd Ste 101Jacksonville, FL 32207-8535 · (904) 253-6910 · Fax (904) 253-6964

Phone(904) 253-6910

Fax(904) 253-6910

Sole ProprietorNo

Enumeration DateFebruary 18, 2026

Last NPPES UpdateApril 10, 2026

NPPES CertifiedApril 10, 2026

✔ NPI 1487507646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in FL · APRN11044708

1443 SAN MARCO BLVD STE 101, Jacksonville, FL 32207

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Engerberht Grullon Msn, Aprn, Acnpc-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JORGE LUIS ALVAREZ MD

Internal Medicine (Pulmonary Disease)