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

Mary Catherine Grissom, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1730780354

Mary Catherine Grissom, APRN is a Nurse Practitioner in Orlando, Florida. Qualified in 2020, 6 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1115 E Ridgewood St
Orlando, FL 32803-5443
Phone: (407) 841-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2093 Appalachee Cir, Tavares, FL 32778-2001 — (352) 455-2215

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN11009353 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APRN11009353 (FL)

Record details

NPI number1730780354
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 2, 2020
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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