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

Nicole Grehn, AGPCNP-C

Individual provider Registered Nurse · NPI 1528729563

Nicole Grehn, AGPCNP-C is a Nurse Practitioner in Brightwaters, New York. Qualified in 2020, 6 years ago. Practices with Physical Medicine and Rehabilitation of Long Island, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2022
Specialties on file
2

Practice location Address checks out

234 Orinoco Dr
Brightwaters, NY 11718-1822
Phone: (631) 300-0797
Fax: (631) 647-8429
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F310519 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 801426 (NY)

Record details

NPI number1528729563
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2022
Last updated in NPPESJanuary 3, 2022
Certification dateOctober 8, 2020

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 Physical Medicine And Rehabilitation Of Long Island — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brightwaters