Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHANIE GRULLON RN
NPI 1710786470
Advanced Practice Midwife in New Haven, CT

Q: What is Stephanie Grullon's NPI number?

The NPI number for Stephanie Grullon is 1710786470. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Q: What is Stephanie Grullon's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Grullon was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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 March 13, 2025PECOS EnrolledAccepts Medicare Assignment

20 YORK ST, NEW HAVEN, CT 06510(203) 980-8911 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, Aug 14, 2025, Aug 8, 2025 and 2 more (5 updates tracked since 2025).

On this page

About Stephanie Grullon Rn NPPES

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

STEPHANIE GRULLON RN (NPI 1710786470) is an individual advanced practice midwife in New Haven, Connecticut, licensed in Connecticut (CNM10349) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710786470

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameSTEPHANIE GRULLONCredential: RN

Location Address20 YORK STNew Haven, CT 06510-3220

Mailing Address50 Grand AveNew Haven, CT 06513-3949 · (203) 980-8911

Phone(203) 980-8911

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 13, 2025

Last NPPES UpdateSeptember 22, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1710786470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in CT · CNM10349

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedRegistered NurseTaxonomy 163W00000X · License 211279 (CT)

20 YORK ST, New Haven, CT 06510

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Secondary Practice Location 1

Location 1374 Grand AveNew Haven, CT 06513-3733 · Phone (203) 777-7411

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Stephanie Grullon Rn 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 ID5698263812

PECOS Enrollment IDI20251021001503

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 Reassignment

Medicare enrollment records show Stephanie Grullon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fair Haven Community Health Clinic, Inc

1.3 mi

Federally Qualified Health Center (FQHC)

426 EAST ST
New Haven, CT 06511

Reassigned Medicare billing, Connecticut enrollment
73 clinicians in this Medicare group

NPI 1043679863 (203) 777-7411

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 06510 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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 20

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

AUDREY P SENIOR APRN

Nurse Practitioner (Family)

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-5860

DR. YEISID F FIGUEREDO M.D.

Pediatrics (Neonatal-Perinatal Medicine)

20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-2320

YALE NEW HAVEN HOSPITAL

Durable Medical Equipment & Medical Supplies (Customized Equipment)

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-2046

TAYLOR KINGSTON

Dietitian, Registered

20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-9185

DR. TRAVIS DANIEL BONTRAGER MD

Hospitalist

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-1734

TERESA JOSEPH D.O.

Internal Medicine (Nephrology)

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 737-8894

MR. BRAD ST. MARTIN MD

Obstetrics & Gynecology

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

BERNADETTE BIMONTE-HACKETT LCSW

Social Worker (Clinical)

20 YORK ST, SOCIAL WORK EP10-635
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 785-5161

JOHN A VANJAH CRNA

Nurse Anesthetist, Certified Registered

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 785-2802

DR. SEAN MICHAEL PENNETTI MD

Psychiatry & Neurology (Neurology)

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

MARIE ANJELIESE RODRIGUEZ

Internal Medicine

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

RUCHI CHANDRAKANT RANA M.S., CCC-SLP

Speech-Language Pathologist

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 512-8951

JOSHUA REED BIA

Emergency Medicine

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

DR. MARGARET M XU MD

Internal Medicine (Geriatric Medicine)

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

EDWARD S LEE MD, PHD

Pathology (Blood Banking & Transfusion Medicine)

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

SYDNEY M JUDGE PA-C

Physician Assistant (Surgical)

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

FRANKLIN CHEN

Pharmacist

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 200-3100

CHRISTOPHER EL MOUHAYYAR

Internal Medicine

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

BO PENG MD

Internal Medicine

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

ELAINE COLOMB MD

Student in an Organized Health Care Education/Training Program

20 YORK ST
NEW HAVEN, CT 06510

South Central Connecticut Planning Region (203) 688-4242

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 Stephanie Grullon's NPI number?

The NPI number for Stephanie Grullon is 1710786470. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Stephanie Grullon located?

Stephanie Grullon practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 980-8911.

What is Stephanie Grullon's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Stephanie Grullon enrolled in Medicare?

Yes. Stephanie Grullon 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 organization bills Medicare for Stephanie Grullon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Grullon reassigns Medicare benefits to Fair Haven Community Health Clinic, Inc (New Haven, CT). 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 Stephanie Grullon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Grullon accept?

Health plans from Anthem Blue Cross and Blue Shield list Stephanie Grullon 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.

When was this NPI record last updated?

The NPPES record for Stephanie Grullon was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.