Mallory Kristen Groff, PMHNP-BC in Grand Forks, ND

Mallory Kristen Groff, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Forks, North Dakota. Her current practice location is 4700 S Washington St Ste G, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 205-3000.

Mallory Kristen Groff is licensed to practice in North Dakota (license number R48854) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255961959.

Contact Information

	Mallory Kristen Groff, PMHNP-BC
	4700 S Washington St Ste G, Grand Forks, ND 58201-8123
	(701) 205-3000
	(701) 732-2501

Map and Direction

Provider's Profile

Full Name	Mallory Kristen Groff
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4700 S Washington St Ste G, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255961959
Provider Enumeration Date: 01/22/2020
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4688003551
Enrollment ID: I20200708000099

Medical Identifiers

Medical identifiers for Mallory Kristen Groff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255961959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	9426584 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	7531 (Minnesota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	161921 (Alaska)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	828441 (Nevada)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R48854 (North Dakota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mallory Kristen Groff allows following entities to bill medicare on her behalf.

Entity Name	Yukon-kuskokwim Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447477815 PECOS PAC ID: 5193718765 Enrollment ID: O20040407001515

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Kristen Groff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mallory Kristen Groff, PMHNP-BC Po Box 5210, Grand Forks, ND 58206-5210 Ph: (701) 205-3000	Mallory Kristen Groff, PMHNP-BC 4700 S Washington St Ste G, Grand Forks, ND 58201-8123 Ph: (701) 205-3000

Reviews and Comments

Nurse Practitioner Nurses in Grand Forks, ND

Ms. Estella Ann Boger, GNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Bethann Marie Nuelle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4700 S Washington St, Grand Forks, ND 58201 Phone: 701-757-2559
Ms. Mary Pat Holler-bibel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 718 Oak St, Grand Forks, ND 58201 Phone: 218-230-0070 Fax: 800-958-7702
Kayla Clausen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5400 Fax: 701-780-6416
Laura Olson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 Fax: 701-780-6940
Ethan Lee Thomas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 S. Washington St., Grand Forks, ND 58201 Phone: 701-732-7000
Kamrin L Macki, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000

Mallory Kristen Groff, PMHNP-BC - Medicare Nurse Practitioner in Grand Forks, ND