NPIMap

Individual provider Active NPI

Jennifer Lynn Grana, D.O.

  • Family Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1376727172
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS016460 Issued in PA
Practice address
121 N Nyes Rd
Harrisburg, PA 17112-3247
Phone
(717) 214-6545
Fax
(717) 531-0639
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS016460 PA Primary

Addresses

Primary practice location

121 N Nyes Rd
Harrisburg, PA 17112-3247

Mailing address

121 N Nyes Rd
Harrisburg, PA 17112-3247
Phone (717) 214-6545

Other identifiers 1

IdentifierTypeStateIssuer
036127224MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130716000035 PA Practitioner - Family Practice 5193902484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

121 N Nyes Rd
Suite F
Harrisburg, PA 17112-3248
Phone (717) 214-6545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS016460PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Family Medicine CurrentSince Jun 1, 2013 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jun 1, 2013 Accepting new patients

Locations

121 N Nyes Rd
Harrisburg, PA 17112
Phone (717) 531-8674

121 N Nyes Rd
Ste A
Harrisburg, PA 17112
Phone (717) 531-4992

121 N Nyes Rd
Ste F
Harrisburg, PA 17112
Phone (717) 214-6545

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1376727172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N NYES RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171123247",
            "telephone_number": "717-214-6545",
            "fax_number": "717-531-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N NYES RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171123247",
            "telephone_number": "717-214-6545",
            "fax_number": "717-531-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS016460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036127224",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.