Stacey Lane Gruka is a Longmont, Colorado based nurse practitioner with 16 years of experience in . She completed her graduation in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stacey Lane Gruka is C-APN.0003341-C-CNM in California. Her current practice location is 1925 Mountain View Ave, Longmont. Patients can reach her at 720-494-3130 or can fax her at 720-494-3176. Stacey Lane Gruka is DNP, ARNP, CNM, MSN and her NPI number (Unique professional ID assigned by NPPES) is 1982879011. Stacey Lane Gruka has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Stacey Lane Gruka speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8426216524
Enrollment ID:
I20220125000142
NPI Number:
1982879011
NPI Enumeration Date:
29 Apr, 2008
NPI Last Update On:
27 Jan, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey Lane Gruka are as mentioned below.
License Number
Specialization
State
Status
C-APN.0003341-C-CNM
California
Primary
C-APN.0003341-C-CNM
Nurse Practitioner
Colorado
Secondary
APRN9246057
Nurse Practitioner
Florida
Secondary
ARNP9246057
Advanced Practice Midwife
Florida
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stacey Lane Gruka is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Poudre Valley Medical Group Llc (9638208549)
1398
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacey Lane Gruka such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9000200515
Medicaid
Colorado
000102200
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stacey Lane Gruka 1925 Mountain View Ave, Longmont, Colorado
Zip:
80501-3128
Phone Number:
720-494-3130
Fax Number:
720-494-3176
Patients can reach Stacey Lane Gruka at 1925 Mountain View Ave, Longmont, Colorado or can call to book an appointment on 720-494-3130.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.