Individual provider Active NPI

John R Grandgenett, APRN

  • Family Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1174537849
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110342 Issued in NE
Practice address
3100 N 14TH St Ste 201
Lincoln, NE 68521-2134
Phone
(402) 476-1455
Fax
(402) 476-1670
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 110342 NE
Family Nurse Practitioner 363LF0000X 110342 NE Primary

Addresses

Primary practice location

3100 N 14TH St Ste 201
Lincoln, NE 68521-2134

Mailing address

1021 N 27TH St
Lincoln, NE 68503-1803
Phone (402) 476-1455

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com Bluestem Health
Direct Messaging Address john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com Bluestem Health
Direct Messaging Address john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com
Direct Messaging Address john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com Bluestem Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000461 NE Practitioner - Nurse Practitioner 5698891786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Nebraska College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestem HealthGroup PAC ID 6800706672, 26 clinicians

Practice addresses (Care Compare)

3100 N 14TH St
201 Bluestem Health Kreshel Clinic
Lincoln, NE 68521-2134
Phone (402) 476-1455

Hospital & facility affiliations

  • Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestem Health Family Medicine Current Accepting new patients

Locations

3100 N 14th St
Lincoln, NE 68521
Phone (402) 477-6600

3100 N 14th St
Ste 201
Lincoln, NE 68521
Phone (402) 477-6600

2222 S 16th St
Ste 435
Lincoln, NE 68502
Phone (402) 474-7445

1021 N 27th St
Lincoln, NE 68503
Phone (402) 476-1640

2301 O St
Ste 2
Lincoln, NE 68510
Phone (402) 441-6642

Interoperability endpoints

  • Direct secure messaging: john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1174537849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N 27TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685031803",
            "telephone_number": "402-476-1455",
            "fax_number": "402-476-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N 14TH ST STE 201",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685212134",
            "telephone_number": "402-476-1455",
            "fax_number": "402-476-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDGENETT",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "110342",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "1021 N 27th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685031803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "2301 O St",
            "address_2": "Suite 2",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685101124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3100 N 14th St Ste 201",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685212134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Bluestem Health",
            "address_1": "2222 S 16th St",
            "address_2": "Ste 435",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685023796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.