Jacqueline Marie Grunefelder, FNPC
Individual provider Active NPI Nurse Practitioner · Linton, ND
NPI 1790701241 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1790701241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- R26709 (ND)
- Practice address
- 121 W Elm Ave
Linton, ND 58552-2100 - Phone
- (701) 254-4531
- Fax
- (701) 254-5459
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Linton Hospital
Practice addresses (Care Compare)
111 W Elm Ave
Linton, ND 58552-2100
Phone (701) 254-4511
121 W Elm Ave
Linton, ND 58552-2100
Phone (701) 254-4531
Hospital & facility affiliations
- Linton Hospital - Cah
- Sanford Medical Center Bismarck
- CHI St Alexius Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051108000618 | ND | Practitioner - Nurse Practitioner | 3870511835 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linton Hospital | Current |
Accepting new patients | |
| Linton Hospital | Current | Accepting new patients | |
| Linton Hospital | Past | Accepting new patients | |
| Linton Hospital | Past | Accepting new patients | |
| Linton Hospital | Past | Accepting new patients |
Interoperability endpoints
- jackieg@linton.securechart.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R26709 | ND | Yes |
Addresses
Primary practice location
121 W Elm Ave
Linton, ND 58552-2100
Mailing address
1955 Highway 34
Kintyre, ND 58549-9457
Phone (701) 332-6314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26435 | Other | ND | BCBS |
| 19814 | Medicaid | ND |
Other providers in Linton, ND
- Emmons County Special Educations Unit
- Emmons District Health Unit
- Executive Air Taxi Corp.
- Janelle J Ferderer
- Cassidy Lee Freeman
- Heather Dawn Hase
- Sarah Hoffer
- Savanna Le Horst
- Cathy B Imdieke
- Ronald Kaiser
All providers in Linton, ND · Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.