MISS STACY-ANN GRENAN NP
NPI 1679018444
Nurse Practitioner - Gerontology in Roslyn, NY

Active since January 03, 2017PECOS EnrolledAccepts Medicare Assignment
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576(516) 562-6000 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Stacy-ann Grenan Np NPPES

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

MISS STACY-ANN GRENAN NP (NPI 1679018444) is an individual gerontology provider in Roslyn, New York, licensed in New York (307898) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2016).

NPPES Registry Identity

NPI1679018444
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMISS STACY-ANN GRENANCredential: NP
Location Address100 PORT WASHINGTON BLVDRoslyn, NY 11576-1347
Mailing Address100 Port Washington BlvdRoslyn, NY 11576-1347 · (516) 562-6000
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2016
Enumeration DateJanuary 3, 2017
✔ NPI 1679018444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NY · 307898
100 PORT WASHINGTON BLVD, Roslyn, NY 11576

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Stacy-ann Grenan Np 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 ID8123369188
PECOS Enrollment IDI20190401002277
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stacy-ann Grenan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
100 PORT WASHINGTON BLVD, SUITE 105
Roslyn, NY 11576
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Chs Physician Partners PC
  • 944 clinicians in this Medicare group
Internal Medicine
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Samaritan Medical Services PC
  • 209 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.

Hospital Affiliations CMS Care Compare

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11576 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Nurse Practitioner (Acute Care)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Internal Medicine (Clinical Cardiac Electrophysiology)
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Pediatrics (Pediatric Cardiology)
100 PORT WASHINGTON BLVD, SUITE 108
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Physician Assistant
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576
Emergency Medicine
100 PORT WASHINGTON BLVD, DEPT OF EMERGENCY MEDICINE
ROSLYN, NY 11576
Nurse Practitioner (Family)
100 PORT WASHINGTON BLVD, ST. FRANCIS HOSPITAL EMERGENCY ROOM
ROSLYN, NY 11576

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 Stacy-ann Grenan's NPI number?

The NPI number for Stacy-ann Grenan is 1679018444. It was assigned to this individual provider in the NPPES registry on January 3, 2017.

Where is Stacy-ann Grenan located?

Stacy-ann Grenan practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 562-6000.

What is Stacy-ann Grenan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Stacy-ann Grenan enrolled in Medicare?

Yes. Stacy-ann Grenan 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.

Which organizations bill Medicare for Stacy-ann Grenan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy-ann Grenan reassigns Medicare benefits to 2 organizations: Chs Physician Partners, P.C (Roslyn, NY) and Samaritan Medical Services, P.C. (West Islip, NY). Each 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 Stacy-ann Grenan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stacy-ann Grenan affiliated with any hospitals?

According to CMS data, Stacy-ann Grenan is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Stacy-ann Grenan was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.