MS. HATTIE CLARK GRUNDLAND NP
NPI 1760545297
Nurse Practitioner - Adult Health in San Francisco, CA

Active since December 18, 2006PECOS Enrolled
558 CLAYTON ST, SAN FRANCISCO, CA 94117(415) 487-5632(415) 431-9909 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Hattie Clark Grundland Np NPPES

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

MS. HATTIE CLARK GRUNDLAND NP (NPI 1760545297) is an individual adult health provider in San Francisco, California, licensed in California (14228) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760545297
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. HATTIE CLARK GRUNDLANDCredential: NP
Location Address558 CLAYTON STSan Francisco, CA 94117-2907
Mailing Address1420 18th AveSan Francisco, CA 94122-3409 · (415) 682-8339
Fax(415) 431-9909
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760545297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 14228
558 CLAYTON ST, San Francisco, CA 94117

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Hattie Clark Grundland Np 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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
3850 17TH STREET
San Francisco, CA 94114
  • Reassigned Medicare billing, California enrollment
  • 1,573 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 94117 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers33 claims70 services$6.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims25 services$1.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Psychologist
558 CLAYTON ST
SAN FRANCISCO, CA 94117
Registered Nurse
558 CLAYTON ST
SAN FRANCISCO, CA 94117
Internal Medicine
558 CLAYTON ST
SAN FRANCISCO, CA 94117
Clinic/Center (Federally Qualified Health Center (FQHC))
558 CLAYTON ST
SAN FRANCISCO, CA 94117
Internal Medicine
558 CLAYTON ST, HAIGHT ASHBURY FREE MEDICAL CLINIC
SAN FRANCISCO, CA 94117

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 Hattie Grundland's NPI number?

The NPI number for Hattie Grundland is 1760545297. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Hattie Grundland located?

Hattie Grundland practices at 558 Clayton St, San Francisco, CA 94117. The listed phone number is (415) 487-5632.

What is Hattie Grundland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Hattie Grundland enrolled in Medicare?

Yes. Hattie Grundland is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hattie Grundland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hattie Grundland reassigns Medicare benefits to City & County Of San Francisco (San Francisco, 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 Hattie Grundland'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 Hattie Grundland was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.