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

Genna Marie Grondin, NP

Individual provider Family Nurse Practitioner · NPI 1073170023

Genna Marie Grondin, NP is a Nurse Practitioner in Niles, Michigan. Qualified in 2017, 9 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Mississippi.

Years since qualifying
9
Licensed in
MI, MS
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

42 N Saint Joseph Ave Ste 100
Niles, MI 49120-2203
Phone: (696) 846-6962
Fax: (269) 687-1798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 905c S Frontage Rd, Meridian, MS 39301-6113 — (601) 482-4955

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704386893 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 903237 (MS)

Record details

NPI number1073170023
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 24, 2019
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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