Trista Louise Grossnickle, PMHNP in Clarinda, IA

Trista Louise Grossnickle, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clarinda, Iowa. Her current practice location is 400 W Glenn Miller Dr, Clarinda, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 542-8354.

Trista Louise Grossnickle is licensed to practice in Iowa (license number G167240) 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 1346993763.

Contact Information

	Trista Louise Grossnickle, PMHNP
	400 W Glenn Miller Dr, Clarinda, IA 51632-2963
	(712) 542-8354
	(712) 517-1192

Map and Direction

Provider's Profile

Full Name	Trista Louise Grossnickle
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	400 W Glenn Miller Dr, Clarinda, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346993763
Provider Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 7012301385
Enrollment ID: I20220302001732

Medical Identifiers

Medical identifiers for Trista Louise Grossnickle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346993763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	G167240 (Iowa)	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. Trista Louise Grossnickle allows following entities to bill medicare on her behalf.

Entity Name	Clarinda Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629196241 PECOS PAC ID: 4587573993 Enrollment ID: O20031205000207

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. Trista Louise Grossnickle 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
Trista Louise Grossnickle, PMHNP 400 W Glenn Miller Dr, Clarinda, IA 51632-2963 Ph: (712) 542-8354	Trista Louise Grossnickle, PMHNP 400 W Glenn Miller Dr, Clarinda, IA 51632-2963 Ph: (712) 542-8354

Reviews and Comments

Nurse Practitioner Nurses in Clarinda, IA

Renee Nauman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Essie Davison Dr, Clarinda, IA 51632 Phone: 712-542-2176
Katie Burns, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Essie Davison Dr, Clarinda, IA 51632 Phone: 712-542-8330 Fax: 712-542-8397
Christina Marie Solt, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Essie Davison Dr, Clarinda, IA 51632 Phone: 712-542-2176
Cris L Morrow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Essie Davison Dr, Clarinda, IA 51632 Phone: 712-542-2176 Fax: 712-542-8201
Mandy Lynn Woods, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Essie Davison Dr, Clarinda, IA 51632 Phone: 712-542-8330
Kirsten Noel Hamilton, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Essie Davison Dr, Clarinda, IA 51632 Phone: 712-542-2176
Talisha I Furst, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Essie Davison Dr, Clarinda, IA 51632 Phone: 712-542-2176 Fax: 712-542-8311

Trista Louise Grossnickle, PMHNP - Medicare Nurse Practitioner in Clarinda, IA