Katie Ann Reilley Greniger, MSN, FNP-BC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10675 Issued in MN

Practice address

1601 Golf Course Rd
Grand Rapids, MN 55744-8648

Phone

(218) 326-3401

NPI assigned

Sep 12, 2023

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 MN

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Professionals, PAGroup PAC ID 4587753934, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.35 of 100Reported as group

Quality

88.69

Promoting interoperability

100

Improvement activities

40

Cost

76.65

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13291/brand/1/csg/1/fhir/r4
• Direct secure messaging: kgreniger@dermpro.emadirect.md

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.

• Dermatology Professionals, PA

  • Clinic/Center
  • Baxter, MN
  • NPI 1720269426
  Medicare reassignment Care Compare group NPD
• Grand Itasca Clinic and Hospital

  • General Acute Care Hospital
  • Grand Rapids, MN
  • NPI 1669426631
  Medicare reassignment NPD
• Dermatology Professionals PA

  • Clinic/Center
  • Saint Cloud, MN
  • NPI 1720840788
  NPD
• Dermatology Professionals, PA

  • Clinic/Center
  • Bemidji, MN
  • NPI 1356714182
  NPD
• Grand Itasca Clinic and Hospital

  • Community/Retail Pharmacy
  • Grand Rapids, MN
  • NPI 1225441157
  NPD
• Cromwell Medical Clinic PLLC

  • Primary Care Clinic/Center
  • Cromwell, MN
  • NPI 1821250549
  NPD (past)

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1356128524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25155 TIMBER TREE DR",
            "city": "COHASSET",
            "state": "MN",
            "postal_code": "557215203",
            "telephone_number": "218-791-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 GOLF COURSE RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557448648",
            "telephone_number": "218-326-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENIGER",
        "first_name": "KATIE",
        "middle_name": "ANN REILLEY",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "10675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Rapids Chiropractic
• Grand Rapids Chiropractic, PLLC
• Grand Rapids Dental Care LLC
• Grand St Paul CVS LLC
• Timothy Raymond Graupmann, D.C.
• Grey Matter, LLC
• Carolyn Grieve, LPMED
• Lynda Lee Griffith, PT, DPT
• David Allen Griggs, PHARM.D.
• Peggy Colleen Grossell, RNFA

• Internal Medicine Physician in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.