Individual provider Active NPI

Walter Grenell Jr., DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wheat Ridge, CO
National Provider Identifier
1669714994
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
0056486 Issued in CO
Practice address
8300 W 38TH Ave
Wheat Ridge, CO 80033-6005
Phone
(303) 425-4500
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 200431 AK
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0056486 CO Primary
Emergency Medicine Physician 207P00000X W0917 TX

Addresses

Primary practice location

8300 W 38TH Ave
Wheat Ridge, CO 80033-6005

Mailing address

8300 W 38TH Ave
Wheat Ridge, CO 80033-6005
Phone (303) 425-4500

Other practice location 1

250 Hospital Pl
Soldotna, AK 99669-6999
Phone (907) 714-4444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wgrenell2685680@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, HI, AK, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160822002826 CO Practitioner - Emergency Medicine 9830484476 Reassigns benefits to 1 organization
I20190107000849 HI Practitioner - Emergency Medicine 9830484476 Reassigns benefits to 3 organizations
I20230208000641 AK Practitioner - Emergency Medicine 9830484476 Reassigns benefits to 1 organization
I20250919004217 TX Practitioner - Emergency Medicine 9830484476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Emergency Physicians Associated IncGroup PAC ID 2860390283, 119 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 974-6800

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
62.56
Promoting interoperability
81
Improvement activities
40
Cost
67.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200431AKMDEmergency Medical Services (Emergency Medicine) Physician
0056486COMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Sep 17, 2018 Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Feb 5, 2017 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Nov 1, 2022 Accepting new patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Feb 5, 2017 Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Feb 1, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Kau Hospital CurrentSince Oct 13, 2020 Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Feb 1, 2023 Accepting new patients
Kau Hospital CurrentSince Oct 13, 2020 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Nov 1, 2022 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients

Locations

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211

56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Interoperability endpoints

  • Direct secure messaging: wgrenell205075@direct.renown.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1669714994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-425-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-425-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Hospital Pl",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996696999",
            "country_code": "US",
            "telephone_number": "907-714-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRENELL",
        "first_name": "WALTER",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AK",
            "license": "200431",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CO",
            "license": "0056486",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "W0917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wgrenell2685680@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "250 Hospital Pl",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996696999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.