Michael Wayne Grevengoed, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A127289 Issued in IA

Practice address

800 Oak St
Sheldon, IA 51201-1242

Phone

(712) 324-5356

Fax

(712) 324-6515

NPI assigned

Jul 11, 2018

Sex

Male

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 IA, SD2 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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hegg Memorial Hospital 44 clinicians

Sanford Health Network 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hegg Memorial Health Center Hospital, Rock Valley, IA, CCN 161336
• Sanford Sheldon Medical Center Hospital, Sheldon, IA, CCN 161381

Merit-based Incentive Payment System (MIPS)

Final score

95.27 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.53 of 100Reported as group

Quality

80.98

Promoting interoperability

100

Improvement activities

40

Cost

70.78

Merit-based Incentive Payment System (MIPS)

Final score

95.27 of 100Reported as apm

Quality

85.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.grevengoed@avera.sdhealthlink.net

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.

• Hegg Memorial Hospital

  • Family Medicine Physician
  • Rock Valley, IA
  • NPI 1629023429

  IA

  Medicare reassignment Care Compare group NPD
• Hegg Memorial Hospital

  • Critical Access Hospital
  • Rock Valley, IA
  • NPI 1730182569

  IA

  Medicare reassignment Care Compare group NPD
• Northwest Iowa Hospital Corporation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550

  IA

  Medicare reassignment NPD
• Sanford Health Network

  • Multi-Specialty Clinic/Center
  • Lake Park, IA
  • NPI 1134787930

  IA

  Medicare reassignment NPD
• Sanford Health Network

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623

  IA

  Medicare reassignment NPD
• Sanford Health Network

  • Critical Access Hospital
  • Canton, SD
  • NPI 1740244540

  SD

  Medicare reassignment NPD
• Sanford Health Network

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280

  SD

  Medicare reassignment NPD
• Hegg Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Rock Valley, IA
  • NPI 1598849812
  Care Compare group
• Hegg Memorial Hospital

  • Home Health Agency
  • Rock Valley, IA
  • NPI 1912988387
  Care Compare group
• Hegg Memorial Hospital

  • Rehabilitation Hospital Unit
  • Rock Valley, IA
  • NPI 1245329960
  NPD
• Sanford Health Network

  • Family Medicine Physician
  • Sheldon, IA
  • NPI 1831281047
  NPD
• Sanford Health Network

  • Family Medicine Physician
  • Vermillion, SD
  • NPI 1013921733
  NPD

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

• Hegg Memorial Hospital

  • Family Medicine Physician
  • Rock Valley, IA
  • NPI 1629023429

  Hospital

  Care Compare affiliation
• Hegg Memorial Hospital

  • Critical Access Hospital
  • Rock Valley, IA
  • NPI 1730182569

  Hospital

  Care Compare affiliation
• Sanford Health Network

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1356837579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 6TH AVE",
            "city": "DOON",
            "state": "IA",
            "postal_code": "512357726",
            "telephone_number": "605-496-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011242",
            "telephone_number": "712-324-5356",
            "fax_number": "712-324-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREVENGOED",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A127289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Foley
• Jaclyn Mae Freese, PA-C
• Andrew Geleynse
• General Surgery, P.C.
• Beth Ann Goetschius, PMHNP
• Amber Joy Groendyke
• Ryan Groeneweg, ED.S., BCBA
• Michelle Lynn Hardie
• Timothy J Hartokolis, P.T.
• Katherine Marie Haverly, PA-C

• All providers in Sheldon, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.