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CARMEN CORNELIA ELISABETH GRUIA FNP
NPI 1548726755
Nurse Practitioner - Family in Apopka, FL

Active since February 12, 2019PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3030 E SEMORAN BLVD STE 264, APOPKA, FL 32703(321) 280-3810 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 23, 2024, Jan 19, 2021, Feb 12, 2019 (3 updates tracked since 2019).

About Carmen Cornelia Elisabeth Gruia Fnp NPPES

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

CARMEN CORNELIA ELISABETH GRUIA FNP (NPI 1548726755) is an individual family provider in Apopka, Florida, licensed in Florida (11031206) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548726755
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMEN CORNELIA ELISABETH GRUIACredential: FNP
Location Address3030 E SEMORAN BLVD STE 264Apopka, FL 32703-5953
Mailing Address888 Dayton St Ste 200Yellow Springs, OH 45387-1777 · (937) 767-7291 · Fax (937) 767-1302
Phone(321) 280-3810
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 12, 2019
Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1548726755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · 11031206✔ Licensed in OH · APRN.CNP.024213
3030 E SEMORAN BLVD STE 264, Apopka, FL 32703
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11425 Xenia AveYellow Springs, OH 45387-1121 · Phone (937) 767-7291
Location 2888 Dayton St Ste 200Yellow Springs, OH 45387-1777 · Phone (937) 767-7291 · Fax (937) 767-1302

Other Identifiers 1

OtherAPRN.CNP.024213OH · Ohio Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carmen Cornelia Elisabeth Gruia Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456746999
PECOS Enrollment IDI20220420001049
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32703 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 2

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

ADVENTIST HEALTH SYSTEM/SUNBELT, INC.
Family Medicine
3030 E SEMORAN BLVD STE 264
APOPKA, FL 32703
Orange County (407) 200-2300
MS. BERTINE JEAN LAURENT NP
Nurse Practitioner (Family)
3030 E SEMORAN BLVD STE 264
APOPKA, FL 32703
Orange County (321) 280-3810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Gruia's NPI number?

The NPI number for Carmen Gruia is 1548726755. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Where is Carmen Gruia located?

Carmen Gruia practices at 3030 E Semoran Blvd Ste 264, Apopka, FL 32703. The listed phone number is (321) 280-3810.

What is Carmen Gruia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carmen Gruia enrolled in Medicare?

Yes. Carmen Gruia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carmen Gruia accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Carmen Gruia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carmen Gruia affiliated with any hospitals?

According to CMS data, Carmen Gruia is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Carmen Gruia was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.