Nathan R Grumdahl, CNP in Brooklyn Park, MN - Medicare Nurse Practitioner

Nathan R Grumdahl, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brooklyn Park, Minnesota. His current practice location is 5500 94th Ave N, Brooklyn Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 826-8475.

Nathan R Grumdahl is licensed to practice in Minnesota (license number 9441) 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 1447989074.

Contact Information

	Nathan R Grumdahl, CNP
	5500 94th Ave N, Brooklyn Park, MN 55443-1992
	(952) 826-8475
	Not Available

Map and Direction

Provider's Profile

Full Name	Nathan R Grumdahl
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5500 94th Ave N, Brooklyn Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447989074
Provider Enumeration Date: 06/08/2022
Last Update Date: 08/24/2022

Medicare PECOS Information:

PECOS PAC ID: 1951778059
Enrollment ID: I20240522003387

Medical Identifiers

Medical identifiers for Nathan R Grumdahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447989074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9441 (Minnesota)	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. Nathan R Grumdahl allows following entities to bill medicare on his behalf.

Entity Name	St Croix Psychiatric Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166

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. Nathan R Grumdahl 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
Nathan R Grumdahl, CNP 5500 94th Ave N, Brooklyn Park, MN 55443-1992 Ph: (763) 762-6870	Nathan R Grumdahl, CNP 5500 94th Ave N, Brooklyn Park, MN 55443-1992 Ph: (952) 826-8475

Reviews and Comments

Nurse Practitioner Nurses in Brooklyn Park, MN

Abagael Marie Snyder, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443 Phone: 612-873-6963
Ms. Roxanna Y. Plouff, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443 Phone: 763-425-1211 Fax: 763-425-6277
Mrs. Katilyn Marie Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10617 Kyle Ave N, Brooklyn Park, MN 55443 Phone: 612-802-4972
Pang Houa Lee-vang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4108 81st Ave N, Brooklyn Park, MN 55443 Phone: 612-281-8727
Dr. Christopher Michael Kissell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-528-6999
Alade Lateef Hamza, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4808 85th Ave N Ste 300, Brooklyn Park, MN 55443 Phone: 764-377-8151
Lindsey Dawes, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443 Phone: 612-873-6963

Nathan R Grumdahl, CNP - Medicare Nurse Practitioner in Brooklyn Park, MN