2026 NPPES data Clinical Nurse Specialist NPI 1417364043 CNS
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JANET GRUHN, CNS

Clinical Nurse Specialist in ROUND ROCK, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
18
Medicare Part D claims · Clinical Nurse Specialist avg: 953
Industry payments
$64.11
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JANET GRUHN, CNS is a Clinical Nurse Specialist ([object Object]) practicing in ROUND ROCK, Texas with a Medicare Part D prescribing footprint of 18 claims . Industry payments of $64.11 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JANET GRUHN, CNS filed 18 Medicare Part D claims in 2023 across ROUND ROCK, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JANET GRUHN, CNS at a glance

Quality data not reported

NPI registry status

Active

Issued 07/15/2014

NPI 1417364043

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

18 98% vs specialty avg

2023 prescription claims

Specialty avg: 953

Specialty distribution in Texas

How Clinical Nurse Specialist compares to other specialties among Texas providers

Texas providers

Clinical Nurse Specialist share within Texas

1. Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Nurse Specialist share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Clinical Nurse Specialist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JANET GRUHN, CNS is a Clinical Nurse Specialist provider practicing in ROUND ROCK, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: CNS. NPI: 1417364043. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JANET GRUHN, CNS appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding CNS credentials at 170 DEEPWOOD DR, ROUND ROCK, TX, 78681, with a listed phone of (512) 454-4588. NPI 1417364043 was issued on 07/15/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRUHN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 18 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $6K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

170 DEEPWOOD DR
ROUND ROCK, TX 78681

Provider Details

NPI 1417364043
Specialty Clinical Nurse Specialist
Credentials CNS
Gender Female
NPI Issued 07/15/2014

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JANET GRUHN, CNS. Source: openpaymentsdata.cms.gov.

Total received

$64

Largest payer

Abbott Laboratories

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to JANET GRUHN, CNS. To verify JANET GRUHN, CNS's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

18
Total Claims
$6K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
44
Total Day Supply
1,320

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.26

Clinical Nurse Specialist Overview

How JANET GRUHN, CNS fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

JANET GRUHN, CNS's 18 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as GRUHN.

Compare Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JANET GRUHN, CNS's specialty?
JANET GRUHN, CNS specializes in Clinical Nurse Specialist and practices in ROUND ROCK, Texas. Credentials: CNS.
How much does JANET GRUHN, CNS prescribe under Medicare Part D?
In 2023, JANET GRUHN, CNS wrote 18 Medicare Part D claims totaling $6K in drug costs for N/A beneficiaries.
Where is JANET GRUHN, CNS located?
JANET GRUHN, CNS is located at 170 DEEPWOOD DR, ROUND ROCK, TX, 78681. Phone: (512) 454-4588.
What is JANET GRUHN, CNS's NPI number?
JANET GRUHN, CNS's National Provider Identifier (NPI) is 1417364043, issued on 07/15/2014.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
Does JANET GRUHN, CNS accept Medicare?
JANET GRUHN, CNS appears in CMS Medicare data with 18 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JANET GRUHN, CNS's credentials?
JANET GRUHN, CNS's NPI is 1417364043 with credentials CNS. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology