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JACLYN GRZYBOWSKI
NPI 1790083806
Nurse Practitioner in Tampa, FL

Active since March 14, 2011PECOS Enrolled
2605 W SWANN AVE, SUITE 600, TAMPA, FL 33609(813) 876-7073 Get Directions Write a Review

NPPES record last updated: March 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaclyn Grzybowski NPPES

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

JACLYN GRZYBOWSKI (NPI 1790083806) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (ARNP 9248140) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790083806
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACLYN GRZYBOWSKI
Location Address2605 W SWANN AVE, SUITE 600Tampa, FL 33609-4039
Mailing Address2605 W Swann Ave, Suite 600Tampa, FL 33609-4039
Phone(813) 876-7073
Sole ProprietorNo
Enumeration DateMarch 14, 2011
✔ NPI 1790083806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP 9248140
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2605 W SWANN AVE, Tampa, FL 33609
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Grzybowski 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 Jaclyn Grzybowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Karon R Locicero MD PA
Same address
Internal Medicine
2605 W SWANN AVE, STE 600
Tampa, FL 33609
  • Reassigned Medicare billing, Florida enrollment
  • 25 clinicians in this Medicare group
NPI 1326064890 (813) 876-7073

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 33609 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.

ELIZABETH STRAKA CHUNG
Nurse Practitioner (Adult Health)
2605 W SWANN AVE
TAMPA, FL 33609
Hillsborough County (813) 876-7073
PINNACLE HEALTH GROUP PA
Internal Medicine
2605 W SWANN AVE, STE 100
TAMPA, FL 33609
Hillsborough County (813) 874-5500
GINA SKARONEA RD, LD/N
Dietitian, Registered
2605 W SWANN AVE, SUITE 100
TAMPA, FL 33609
Hillsborough County (813) 874-5500
MS. AMY JANE MAXWELL FNP
Nurse Practitioner (Family)
2605 W SWANN AVE, SUITE 100
TAMPA, FL 33609
Hillsborough County (813) 874-5500
DR. LENA A GEORGES DPM
Podiatrist
2605 W SWANN AVE
TAMPA, FL 33609
Hillsborough County (813) 876-7073
DR. LINDA J FLYNN M.D.
Dermatology (Procedural Dermatology)
2605 W SWANN AVE, SUITE #300
TAMPA, FL 33609
Hillsborough County (813) 872-9551
KARON R LOCICERO MD
Internal Medicine
2605 W SWANN AVE, SUITE 600
TAMPA, FL 33609
Hillsborough County (813) 876-7073
JOSE W RODRIGUEZ MD PA
Specialist
2605 W SWANN AVE, SUITE 100
TAMPA, FL 33609
Hillsborough County (813) 878-2229

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 Jaclyn Grzybowski's NPI number?

The NPI number for Jaclyn Grzybowski is 1790083806. It was assigned to this individual provider in the NPPES registry on March 14, 2011.

Where is Jaclyn Grzybowski located?

Jaclyn Grzybowski practices at 2605 W Swann Ave Suite 600, Tampa, FL 33609. The listed phone number is (813) 876-7073.

What is Jaclyn Grzybowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jaclyn Grzybowski enrolled in Medicare?

Yes. Jaclyn Grzybowski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Grzybowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Grzybowski reassigns Medicare benefits to Karon R Locicero MD PA (Tampa, FL). 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 Jaclyn Grzybowski'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 Jaclyn Grzybowski was last updated on March 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.