Are you Paula DIONISIA PULGAR Grannells, CRNP? This profile is yours to edit: update your address, phone, photo and services.
Edit this profileListed in the NPI registry as a nurse practitioner, Paula DIONISIA PULGAR Grannells, CRNP practices in Lancaster, PA. According to Medicare claims data, Paula cared for 152 Medicare patients across 152 services. The services billed most often include initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes, initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes, and critical care, first 30-74 minutes. NPI 1538838396 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
555 N DUKE ST
Lancaster, PA 17602
152 services · 152 patients · 5 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
50 | More often than most peers in Nurse Practitioner |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99221 |
46 | More often than most peers in Nurse Practitioner |
| Critical care, first 30-74 minutes | Office visit | 99291 |
26 | As often as other peers in Nurse Practitioner |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
18 | As often as other peers in Nurse Practitioner |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
12 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Paula DIONISIA PULGAR Grannells is a nurse practitioner in Lancaster, PA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Paula DIONISIA PULGAR Grannells is listed at 555 N Duke St, Lancaster, PA 17602. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (717) 396-9167. Contact the office directly to confirm availability and scheduling.
NPI registry
Paula DIONISIA PULGAR Grannells's National Provider Identifier is 1538838396. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Paula DIONISIA PULGAR Grannells attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
Paula DIONISIA PULGAR Grannells has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Paula DIONISIA PULGAR Grannells the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Paula DIONISIA PULGAR Grannells. If this is you, claiming it is free.
Guide.md
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