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

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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 NameKyle Douglas Gronberg
GenderMale
SpecialityNurse Practitioner
Location1423 N Jefferson Ave, Springfield, Missouri
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1427773852NPI-NPPES
200117832MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse 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 NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538334396
PECOS PAC ID: 1254248917
Enrollment ID: O20050624000293
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447324660
PECOS PAC ID: 5799787784
Enrollment ID: O20070206000541
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669923884
PECOS PAC ID: 1254248917
Enrollment ID: O20161206000652
Entity NameCox-monett Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205387289
PECOS PAC ID: 0345236667
Enrollment ID: O20161213002029
Entity NameSkaggs Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255870853
PECOS PAC ID: 5092624320
Enrollment ID: O20170310001975

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 AddressPractice 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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.