Becky Jo Imgrund, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

106752 Issued in CO

Practice address

111 Hundertmark Rd
Chaska, MN 55318-4551

Phone

(952) 442-2191

Fax

(952) 442-8055

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO, MN2 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 2

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ridgeview Medical Center

  dba Ridgeview Medical Center CRNAs

  • Certified Registered Nurse Anesthetist
  • Waconia, MN
  • NPI 1528364429
  Medicare reassignment Care Compare group NPD
• Minnesota Valley Health Center Inc

  • Critical Access Hospital
  • Le Sueur, MN
  • NPI 1730248907
  Medicare reassignment NPD
• Sibley Medical Center

  dba Ridgeview Sibley Medical Center

  • Critical Access Hospital
  • Arlington, MN
  • NPI 1740240225
  Medicare reassignment NPD
• Premier Emergency Services, Inc

  • Emergency Medicine Physician
  • Westminster, CO
  • NPI 1457755688
  Medicare reassignment NPD
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Arvada, CO
  • NPI 1053824979
  Medicare reassignment NPD
• Usacs Observation Medicine Services of Colorado Inc.

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1518491232
  Medicare reassignment NPD
• Usacs of Colorado, Inc

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1760415871
  Medicare reassignment NPD
• Minnesota Valley Health Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Le Sueur, MN
  • NPI 1215097902
  NPD
• Ridgeview Medical Center

  • Diagnostic Radiology Physician
  • Waconia, MN
  • NPI 1811174923
  NPD
• Premier Emergency Services, Inc

  • Emergency Medicine Physician
  • Westminster, CO
  • NPI 1962037440
  NPD
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Breckenridge, CO
  • NPI 1003549460
  NPD
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Dacono, CO
  • NPI 1548895030
  NPD

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

• Ridgeview Medical Center

  • General Acute Care Hospital
  • Waconia, MN
  • NPI 1275608457
  Care Compare affiliation
• Ridgeview Medical Center

  • General Acute Care Hospital
  • Chaska, MN
  • NPI 1710748538
  Care Compare affiliation

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1235251893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13819 102ND PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697501",
            "telephone_number": "303-548-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184551",
            "telephone_number": "952-442-2191",
            "fax_number": "952-442-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMGRUND",
        "first_name": "BECKY",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "106752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00739790",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54503744",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Gayle Houts, MD
• Ching-Ho Huang, M.D.
• Jeffrey Thomas Humbert, MD
• Tara Humbert, PHARMD
• Kelsey Marie Hyde, PSYD
• Imprinted Counseling, PLLC
• Infinite Health Collaborative, PA
• Inmind Health, LLC
• Lynne W. Jackson, OTR
• Mara Ann Klipfel Jackson, PA-C, ATC

• Nurse Practitioner in Chaska, MN
• Providers in Chaska, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.

Verify at the official NPI Registry.