Trista Louise Grossnickle, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G167240 Issued in IA

Practice address

400 W Glenn Miller Dr
Clarinda, IA 51632-2963

Phone

(712) 542-8354

Fax

(712) 517-1192

NPI assigned

Jan 27, 2022

Last updated

Jan 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 IA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarinda Regional Health CenterGroup PAC ID 4587573993, shared by 5 NPIs, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352

Merit-based Incentive Payment System (MIPS)

Final score

67.97 of 100Reported as apm

Quality

34.29

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarinda Regional Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Clarinda, IA
  • NPI 1255489647
  Medicare reassignment NPD
• Clarinda Regional Health Center

  • Critical Access Hospital
  • Clarinda, IA
  • NPI 1366486946
  Medicare reassignment NPD
• Clarinda Regional Health Center

  dba Clarinda Medical Associates

  • Family Medicine Physician
  • Clarinda, IA
  • NPI 1629196241

  Single Specialty

  Medicare reassignment NPD

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

• Clarinda Regional Health Center

  • Critical Access Hospital
  • Clarinda, IA
  • NPI 1366486946
  Care Compare affiliation

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1346993763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W GLENN MILLER DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322963",
            "telephone_number": "712-542-8354",
            "fax_number": "712-517-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W GLENN MILLER DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322963",
            "telephone_number": "712-542-8354",
            "fax_number": "712-517-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSNICKLE",
        "first_name": "TRISTA",
        "middle_name": "LOUISE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G167240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Gibson, L.M.S.W.
• Kathleen Lynn Gillespie-Jensen, MA, MS, TLMHC
• Andrea Gomez
• Anthony Christopher Grainger, PHARM.D.
• Hailly Brooke Greenough
• Danielle Jo Groves, RD, LD
• Misty Haffner-Szynskie, OTR
• Kirsten Noel Hamilton, ARNP
• Joshua Hardy
• Mitchell John Hargin, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Clarinda, IA
• Providers in Clarinda, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.