Kyle Douglas Gronberg, FNP-C in Springfield, MO

Kyle Douglas Gronberg, FNP-C is a medicare enrolled "Nurse Practitioner" in Springfield, Missouri. His current practice location is 1423 N Jefferson Ave, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (000) 000-0000.

Kyle Douglas Gronberg is licensed to practice in Missouri (license number 2022040333) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427773852.

Contact Information

	Kyle Douglas Gronberg, FNP-C
	1423 N Jefferson Ave, Springfield, MO 65802-1917
	(000) 000-0000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle Douglas Gronberg
Gender	Male
Speciality	Nurse Practitioner
Location	1423 N Jefferson Ave, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427773852
Provider Enumeration Date: 10/07/2022
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2668848292
Enrollment ID: I20221021001615

Medical Identifiers

Medical identifiers for Kyle Douglas Gronberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427773852	NPI	-	NPPES
200117832	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2022040333 (Missouri)	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. Kyle Douglas Gronberg allows following entities to bill medicare on his behalf.

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447324660 PECOS PAC ID: 5799787784 Enrollment ID: O20070206000541

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669923884 PECOS PAC ID: 1254248917 Enrollment ID: O20161206000652

Entity Name	Lester E Cox Medical Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750036703 PECOS PAC ID: 1254248917 Enrollment ID: O20220509000988

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. Kyle Douglas Gronberg 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
Kyle Douglas Gronberg, FNP-C Po Box 505673, Saint Louis, MO 63150-5673 Ph: () -	Kyle Douglas Gronberg, FNP-C 1423 N Jefferson Ave, Springfield, MO 65802-1917 Ph: (000) 000-0000

Reviews and Comments

Nurse Practitioner Nurses in Springfield, MO

Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1965 S Fremont Ave, Springfield, MO 65804 Phone: 417-820-5150 Fax: 417-820-5155
Sally R Schafer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036

Kyle Douglas Gronberg, FNP-C - Medicare Nurse Practitioner in Springfield, MO