Active NPI
Patricia Fink Groncki-Meninger, MS, CPNP, CFNP
- Family Nurse Practitioner
- Rosedale, MD
National Provider Identifier
1790861771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 343880-22
- Practice address
- 9150 Franklin Square Dr
Rosedale, MD 21237-3903 - Phone
- (410) 887-6452
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0023100-06 | MD | |
| Family Nurse Practitioner | 363LF0000X | 343880-22 | MD | Primary |
Addresses
Primary practice location
9150 Franklin Square Dr
Rosedale, MD 21237-3903
Mailing address
2822 Onyx Rd
Baltimore, MD 21234-5639
Phone (410) 661-3677
Other names 1
- Mrs. Patricia Fink Groncki-Reichert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 343880-22 | MD | MD | Family Nurse Practitioner |
| 0023100-06 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore County Maryland | Current | Accepting new patients | |
| Baltimore County Department of Health | Past | Accepting new patients |
Locations
6401 York Rd
Ste 3
Baltimore, MD 21212
Phone (410) 887-2077
9150 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 887-0402
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Baltimore, MD
- NPI 1538439617
-
- Public Health or Welfare Agency
- Rosedale, MD
- NPI 1245385434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1790861771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2822 ONYX RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212345639",
"telephone_number": "410-661-3677",
"fax_number": "410-661-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 FRANKLIN SQUARE DR",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212373903",
"telephone_number": "410-887-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRONCKI-MENINGER",
"first_name": "PATRICIA",
"middle_name": "FINK",
"name_prefix": "Mrs.",
"credential": "MS, CPNP, CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "0023100-06",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "343880-22",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "GRONCKI-REICHERT",
"middle_name": "FINK",
"prefix": "MRS.",
"credential": "MS, CPNP, CFNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rosedale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.