Jenna Nicole Myrom, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R156714-4 Issued in MN

Practice address

10 4TH Ave SE
Glenwood, MN 56334-1820

Phone

(320) 634-4521

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

No

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.

• Glacial Ridge Hospital District

  • Family Medicine Physician
  • Brooten, MN
  • NPI 1255348223

  MN

  Medicare reassignment Care Compare group NPD
• Glacial Ridge Hospital District

  • Rural Health Clinic/Center
  • Starbuck, MN
  • NPI 1063952026
  Care Compare group NPD
• Glacial Ridge Hospital District

  • Critical Access Hospital
  • Glenwood, MN
  • NPI 1538178520
  Care Compare group NPD
• Glacial Ridge Hospital District

  • Family Medicine Physician
  • Glenwood, MN
  • NPI 1649285172
  Care Compare group NPD (past)
• Glacial Ridge Hospital District

  • Home Health Agency
  • Glenwood, MN
  • NPI 1922017052
  Care Compare group NPD (past)
• Glacial Ridge Hospital District

  • Community Based Hospice Care Agency
  • Glenwood, MN
  • NPI 1134134877
  Care Compare group
• Glacial Ridge Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Glenwood, MN
  • NPI 1649319146
  Care Compare group

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

• Glacial Ridge Hospital District

  • Critical Access Hospital
  • Glenwood, MN
  • NPI 1538178520

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glacial Ridge Hospital District 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glacial Ridge Hospital Hospital, Glenwood, MN, CCN 241376

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2008.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1821242728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19564 S LAKE SHORE DR",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563345042",
            "telephone_number": "320-634-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 4TH AVE SE",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "563341820",
            "telephone_number": "320-634-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYROM",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R156714-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustave L Mellgren, M.D.
• Minnewaska Area School District #2149
• Robert Palencia Montenegro, M.D.
• Kara Diane Mrnak, RN
• Arriann Muller-Hanson
• Jeremy Myrom, DR DENTIST
• Margie Ruth Nelson, CFNP
• North Country Counseling P.C.
• Melissa Lee Olstad, PTA
• Andrew Ostrander

• All providers in Glenwood, MN
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.