Individual provider Active NPI

Grethe June Mortenson, CRNP

  • Neonatal Nurse Practitioner
  • Klamath Falls, OR
National Provider Identifier
1205183415
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
SP029056 Issued in PA
Practice address
2074 S 6TH St
Klamath Falls, OR 97601
Phone
(541) 841-8110
Fax
(541) 885-5512
NPI assigned
Aug 7, 2012
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8585 WI
Nurse Practitioner 363L00000X SP029043 PA
Nurse Practitioner 363L00000X 10015210 OR
Adult Health Nurse Practitioner 363LA2200X 1916 MN
Neonatal Nurse Practitioner 363LN0000X 1916 MN
Neonatal Nurse Practitioner 363LN0000X 10015210 OR
Neonatal Nurse Practitioner 363LN0000X 281915 AZ
Neonatal Nurse Practitioner 363LN0000X SP029056 PA Primary

Addresses

Primary practice location

2074 S 6TH St
Klamath Falls, OR 97601

Mailing address

2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 841-8110

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Other practice location 2

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

Other practice location 3

351 SW 9th St
Ontario, OR 97914-2639
Phone (541) 881-7184

Other practice location 4

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000

Other practice location 5

9555 76th St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8005

Other practice location 6

4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 578-5858

Other identifiers 2

IdentifierTypeStateIssuer
500827451MedicaidOR
1205183415MedicaidWI

Other names 1

  • Grethe June M Jennings Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, IL, LA, NC, VA, FL, MT, PA, ME, OR, SC12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20120925000524 MN Practitioner - Nurse Practitioner 7315196920 Reassigns benefits to 2 organizations
I20190920000072 WI Practitioner - Nurse Practitioner 7315196920 Reassigns benefits to 1 organization
I20211006002847 IL Practitioner - Nurse Practitioner 7315196920 Reassigns benefits to 1 organization
I20220602003026 LA Practitioner - Nurse Practitioner 7315196920 Reassigns benefits to 2 organizations
I20220720002975 NC Practitioner - Nurse Practitioner 7315196920 Reassigns benefits to 2 organizations
I20230914001754 VA Practitioner - Nurse Practitioner 7315196920
I20230914002024 FL Practitioner - Nurse Practitioner 7315196920
I20230918003857 MT Practitioner - Nurse Practitioner 7315196920
I20230918004070 PA Practitioner - Nurse Practitioner 7315196920 Reassigns benefits to 1 organization
I20230919002328 ME Practitioner - Nurse Practitioner 7315196920 Reassigns benefits to 1 organization
I20240206001956 OR Practitioner - Nurse Practitioner 7315196920 Reassigns benefits to 1 organization
I20241216001686 SC Practitioner - Nurse Practitioner 7315196920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Openloop Healthcare Partners PCGroup PAC ID 2668871898, 47 clinicians

Practice addresses (Care Compare)

Augusta, ME 04330
Phone (831) 218-6882

Grand Rapids, MN 55744
Phone (218) 999-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8585WIMDOccupational Therapist
1916MNMDMedical Physician Assistant
10015210ORMDNurse Practitioner
SP029043PAMDNurse Practitioner
SP029056PAMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince May 24, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince May 19, 2022 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC Nurse Practitioner CurrentSince Aug 6, 2023 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc Current Accepting new patients
Carle Health Medical Group CurrentSince Sep 24, 2021 Accepting new patients
Musc Community Physicians CurrentSince Nov 1, 2024 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner CurrentSince Sep 6, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Froedtert South, Inc. CurrentSince Jan 9, 2020 Accepting new patients
Unc Physicians Network LLC CurrentSince Jan 7, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Aug 1, 2024 Accepting new patients
Allina Health System CurrentSince Apr 15, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince May 19, 2022 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Musc Community Physicians CurrentSince Nov 1, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Aug 1, 2024 Accepting new patients
Akron Children's Hospital Current Accepting new patients
Allina Health System CurrentSince Apr 15, 2024 Accepting new patients
West Coast Neonatology, Inc. Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations (25 of 27)

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

121 Washington Ave N
Minneapolis, MN 55401
Phone (612) 424-0434

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

301 S Bedford St
Ste 1
Madison, WI 53703
Phone (773) 766-9444

342 N Water St
Ste 600
Milwaukee, WI 53202
Phone (414) 296-6189

Interoperability endpoints

  • Direct secure messaging: creed21703@direct.chmca.org
  • Direct secure messaging: gmortensonaprn337830@carlehiedirect.net

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1205183415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013372",
            "telephone_number": "541-841-8110",
            "fax_number": "541-885-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "97601",
            "telephone_number": "541-841-8110",
            "fax_number": "541-885-5512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 SW 9th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979142639",
            "country_code": "US",
            "telephone_number": "541-881-7184",
            "fax_number": "541-881-7016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071321",
            "country_code": "US",
            "telephone_number": "612-262-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9555 76th St",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531581984",
            "country_code": "US",
            "telephone_number": "262-577-8005",
            "fax_number": "262-577-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Friendship Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241722",
            "country_code": "US",
            "telephone_number": "412-578-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "GRETHE",
        "middle_name": "JUNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8585",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP029043",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10015210",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "1916",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MN",
            "license": "1916",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OR",
            "license": "10015210",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AZ",
            "license": "281915",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "PA",
            "license": "SP029056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500827451",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205183415",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETHE",
            "last_name": "JENNINGS",
            "middle_name": "JUNE M",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.