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

Individual provider Pediatric Nurse Practitioner · NPI 1023995164

Glenn M Grushko, PNP is a Nurse Practitioner in Phoenix, Arizona. Graduated from Baylor College of Medicine in 2025, 1 year ago. Practices with Phoenix Children's Hospital, a 430-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Trained at
Baylor College of Medicine
Licensed in
AZ
In the registry since
2025
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence TEMP329979 (AZ)

Record details

NPI number1023995164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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