Goldie Bjornstad

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-79063-021 Issued in KS

Practice address

9119 W 74TH St Ste 268
Merriam, KS 66204-2268

Phone

(913) 780-4300

Fax

(913) 780-4250

NPI assigned

Dec 26, 2019

Last updated

Aug 21, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbjornstad3698979@adventhealth.direct-ci.com

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.

• Shawnee Mission Medical Center Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690
  Medicare reassignment NPD

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1245879097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST STE 268",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042268",
            "telephone_number": "913-780-4300",
            "fax_number": "913-780-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST STE 268",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042268",
            "telephone_number": "913-780-4300",
            "fax_number": "913-780-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORNSTAD",
        "first_name": "GOLDIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79063-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Anthony Berni, PTA
• Anna Sushila Bhatnagar, APRN
• Megan Bierle, DDS
• Corina Bissonnette
• Curtis John Bittner, CRNA
• Sheila A Boerger
• Tiffany Ann Bohm, MPT, DPT
• Aimee Marie Bono, LMT
• Dane Boyack, DO
• Margaret Ann Boylan, OTR/L

• Family Nurse Practitioner in Merriam, KS
• Providers in Merriam, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.