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

Kimberly Ann Grzybowski, NP-C

Individual provider Primary Care Nurse Practitioner · NPI 1689142283

Kimberly Ann Grzybowski, NP-C is a Nurse Practitioner in Scranton, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Cleanslate Medical Group of Pennsylvania LLC, a 20-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1020 W Lackawanna Ave
Scranton, PA 18504-2052
Phone: (570) 904-6000
Fax: (570) 871-4638
Show map & directions

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

Additional practice locations (1)

  • 39 E Jackson St, Wilkes Barre, PA 18701-2709 — (570) 704-4145

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP019532 (PA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence SP019532 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP019532 (PA)

Record details

NPI number1689142283
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 13, 2018
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Cleanslate Medical Group Of Pennsylvania Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Scranton