MS. DEIDRA GROSSEIBL FNP-C
NPI 1669179248
Nurse Practitioner - Family in The Villages, FL

Q: What is Deidra Grosseibl's NPI number?

The NPI number for Deidra Grosseibl is 1669179248. It was assigned to this individual provider in the NPPES registry on February 14, 2023. The provider is also known as Deidra Brown.

Q: What is Deidra Grosseibl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Deidra Grosseibl was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since February 14, 2023PECOS Enrolled

1575 SANTA BARBARA BLVD, THE VILLAGES, FL 32159(352) 674-1740 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2026, Apr 29, 2026, Feb 14, 2023 (3 updates tracked since 2023).

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About Ms. Deidra Grosseibl Fnp-c NPPES

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

MS. DEIDRA GROSSEIBL FNP-C (NPI 1669179248) is an individual family provider in The Villages, Florida, licensed in Florida (APRN11047168) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1669179248

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. DEIDRA GROSSEIBLCredential: FNP-C

Location Address1575 SANTA BARBARA BLVDThe Villages, FL 32159-6820

Mailing Address1020 Lake Sumter LndgThe Villages, FL 32162-2699 · (352) 674-8905 · Fax (352) 674-8919

Phone(352) 674-1740

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateFebruary 14, 2023

Last NPPES UpdateMay 8, 20263 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1669179248 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

License✔ Licensed in FL · APRN11047168

1575 SANTA BARBARA BLVD, The Villages, FL 32159

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Other Names 1

Former Name (1)Deidra Brown

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Deidra Grosseibl Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769951581

PECOS Enrollment IDI20260520003996

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 32159 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 20

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

YUMNA GHOURI MD

Internal Medicine