DR. JEAN GRUVER M.D.
NPI 1619051174
Pediatrics in Shoreline, WA
About Dr. Jean Gruver M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEAN GRUVER M.D. (NPI 1619051174) is an individual pediatrics provider in Shoreline, Washington, licensed in Washington (MD00028754) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jean Gruver M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jean Gruver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jean Gruver's NPI number?
The NPI number for Jean Gruver is 1619051174. It was assigned to this individual provider in the NPPES registry on October 24, 2006.
Where is Jean Gruver located?
Jean Gruver practices at 1355 N 205th St, Shoreline, WA 98133. The listed phone number is (206) 542-5656.
What is Jean Gruver's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jean Gruver enrolled in Medicare?
Yes. Jean Gruver is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jean Gruver's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jean Gruver reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jean Gruver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jean Gruver was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Jean Gruver, M.D. · NPI 1619051174
Pediatrics physician in Shoreline, Washington. Individual provider, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1619051174 (Entity type: Individual)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD00028754 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1355 N 205TH ST, Shoreline, WA 98133-3215
- **Phone:** (206) 542-5656
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2008
- **Other identifiers:** Medicare UPIN F19907 (WA); Medicare ID-Type Unspecified AB05474 (WA); Medicaid 8234429 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1619051174) · Data from the CMS NPPES public registry.