Michelle L Gruenstern, RN

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

1818 N Meade St
Suite 240 West
Appleton, WI 54911-3496

Phone

(920) 731-8131

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michelle L Hoppa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Fox Valley Surgical Associates LTD

  • Surgery Physician
  • Appleton, WI
  • NPI 1376594952
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1780801746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "address_2": "SUITE 240 WEST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113496",
            "telephone_number": "920-731-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "address_2": "SUITE 240 WEST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113496",
            "telephone_number": "920-731-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENSTERN",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "WI",
            "license": "170302-30",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HOPPA",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Gross, LPC, SACIT
• Tierney Shannon Grosskopf, M.D.
• Thomas P. Grotenhuis, DDS
• Lisa M Grothe, APNP
• Aaron R Gruber, O.D.
• Joseph Frederick Grycowski, PHARM D
• Rachael E Grzywa, OTR/L
• Nancy L Gudex, NP
• Amanda M Gueldenzopf, LPC
• Andrea Guenther-Pal, LCSW

• Surgical Technologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Surgical Technologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.