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HOLLY L GRUNEBACH PA
NPI 1669627899
Physician Assistant in Alexandria, VA

Active since December 02, 2008PECOS Enrolled
4320 SEMINARY ROAD, ALEXANDRIA HOSPITAL, ALEXANDRIA, VA 22304(703) 504-3066(703) 504-3866 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holly L Grunebach Pa NPPES

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

HOLLY L GRUNEBACH PA (NPI 1669627899) is an individual physician assistant in Alexandria, Virginia, licensed in Maryland (C04034) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1669627899
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLY L GRUNEBACHCredential: PA
Location Address4320 SEMINARY ROAD, ALEXANDRIA HOSPITALAlexandria, VA 22304
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704
Phone(703) 504-3066
Fax(703) 504-3866
Sole ProprietorNo
Enumeration DateDecember 2, 2008
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1669627899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C04034
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 0110002874 (VA)
4320 SEMINARY ROAD, Alexandria, VA 22304
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly L Grunebach Pa 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 22304 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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 14

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

JENNIFER L BOADA NP
Nurse Practitioner (Adult Health)
4320 SEMINARY ROAD, DEPARTMENT OF SURGERY
ALEXANDRIA, VA 22304
Alexandria City (703) 504-3611
IMTIAZ A CHOUDHARY MD
Internal Medicine (Infectious Disease)
4320 SEMINARY ROAD
ALEXANDRIA, VA 22304
Alexandria City (703) 504-3000
JOAN S NAIDORF DO
Emergency Medicine
4320 SEMINARY ROAD, ALEXANDRIA HOSPITAL
ALEXANDRIA, VA 22304
Alexandria City (703) 504-3066
JUSTINE D YOUNG PA
Physician Assistant
4320 SEMINARY ROAD, ALEXANDRIA HOSPITAL
ALEXANDRIA, VA 22304
Alexandria City (703) 504-3066
MR. ALESSANDRO GHIDINI MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4320 SEMINARY ROAD, INOVA ALEXANDRIA HOSPITAL PERINATAL DIAGNOSTIC CENTER
ALEXANDRIA, VA 22304
Alexandria City (703) 504-7868
DR. OFUNDEM AKOH-ARREY NOKURI MD
Pediatrics
4320 SEMINARY ROAD, ALEXANDRIA HOSPITAL
ALEXANDRIA, VA 22304
Alexandria City (703) 504-3066
LYNETTE R SANDOVAL PA
Physician Assistant
4320 SEMINARY ROAD, ALEXANDRIA HOSPITAL
ALEXANDRIA, VA 22304
Alexandria City (703) 504-3066
RACHEL ALYSON OKEN CRNA
Nurse Anesthetist, Certified Registered
4320 SEMINARY ROAD
ALEXANDRIA, VA 22304
Alexandria City (703) 504-3789

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 Holly Grunebach's NPI number?

The NPI number for Holly Grunebach is 1669627899. It was assigned to this individual provider in the NPPES registry on December 2, 2008.

Where is Holly Grunebach located?

Holly Grunebach practices at 4320 Seminary Road Alexandria Hospital, Alexandria, VA 22304. The listed phone number is (703) 504-3066.

What is Holly Grunebach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Holly Grunebach enrolled in Medicare?

Yes. Holly Grunebach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Grunebach was last updated on April 15, 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.