Active NPI
McKenzie Jo Gronvold, FNP
- Family Nurse Practitioner
- Rugby, ND
National Provider Identifier
1073405668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202898
- Practice address
- 2975 Highway 2 E
Rugby, ND 58368-7801 - Phone
- (701) 776-7000
- NPI assigned
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 202898 | ND | Primary |
Addresses
Primary practice location
2975 Highway 2 E
Rugby, ND 58368-7801
Mailing address
2975 Highway 2 E
Rugby, ND 58368-7801
Other names 1
- McKenzie Bryn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250821004362 | ND | Practitioner - Nurse Practitioner | 6800396151 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of North Dakota School of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Samaritan Hospital Association
Practice addresses (Care Compare)
2975 Hwy 2 E
Rugby, ND 58368-7801
Phone (701) 776-5261
Hospital & facility affiliations
- Heart of America Medical Center
- Trinity Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202898 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Association | Current | Accepting new patients | |
| Good Samaritan Hospital Association | Current | Accepting new patients | |
| Good Samaritan Hospital Association | Past | Accepting new patients |
Locations
2975 Highway 2 E
Rugby, ND 58368
Phone (701) 776-5235
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Rugby, ND
- NPI 1578734869
-
- Community Based Hospice Care Agency
- Rugby, ND
- NPI 1003903840
-
- Medicare Defined Swing Bed Hospital Unit
- Rugby, ND
- NPI 1417044249
-
- Family Medicine Physician
- Dunseith, ND
- NPI 1568633865
-
- Family Medicine Physician
- Maddock, ND
- NPI 1740451038
-
- Durable Medical Equipment & Medical Supplies
- Rugby, ND
- NPI 1922198803
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1073405668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 HIGHWAY 2 E",
"city": "RUGBY",
"state": "ND",
"postal_code": "583687801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 HIGHWAY 2 E",
"city": "RUGBY",
"state": "ND",
"postal_code": "583687801",
"telephone_number": "701-776-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONVOLD",
"first_name": "MCKENZIE",
"middle_name": "JO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "202898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MCKENZIE",
"last_name": "BRYN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rugby, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.