Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genesis Grullon, RN, NP

Individual provider Registered Nurse · NPI 1477947877

Genesis Grullon, RN, NP is a Nurse Practitioner in New York, New York. Graduated from University of Missouri, Columbia School of Medicine in 2016, 10 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

803 W 180th St Apt 5
New York, NY 10033-3543 Not confirmed with CMS for 10 years — call before visiting
Phone: (917) 405-5490
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 340240 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 672663 (NY)

Record details

NPI number1477947877
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , NP
Sole proprietorNo
NPI enumeratedMarch 24, 2015
Last updated in NPPESFebruary 16, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients22
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in New York