MCKENZIE JO GRONVOLD FNP
NPI 1073405668
Nurse Practitioner - Family in Rugby, ND
About Mckenzie Jo Gronvold Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENZIE JO GRONVOLD FNP (NPI 1073405668) is an individual family provider in Rugby, North Dakota, licensed in North Dakota (202898) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Trinity Hospitals, and is a graduate of University Of North Dakota School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mckenzie Jo Gronvold Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mckenzie Gronvold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rugby, ND 58368
- Reassigned Medicare billing, North Dakota enrollment
- Also billed through NPI 1588751325 (North Dakota)
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity Hospitals
Acute Care Hospitals · Minot, NDHeart Of America Medical Center
Critical Access Hospitals · Rugby, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUGBY, ND 58368
RUGBY, ND 58368
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mckenzie Gronvold's NPI number?
The NPI number for Mckenzie Gronvold is 1073405668. It was assigned to this individual provider in the NPPES registry on July 17, 2025. The provider is also known as Mckenzie Bryn.
Where is Mckenzie Gronvold located?
Mckenzie Gronvold practices at 2975 Highway 2 E, Rugby, ND 58368. The listed phone number is (701) 776-7000.
What is Mckenzie Gronvold's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mckenzie Gronvold enrolled in Medicare?
Yes. Mckenzie Gronvold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mckenzie Gronvold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Gronvold reassigns Medicare benefits to Good Samaritan Hospital Association (Rugby, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mckenzie Gronvold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mckenzie Gronvold accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mckenzie Gronvold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mckenzie Gronvold affiliated with any hospitals?
According to CMS data, Mckenzie Gronvold is affiliated with Trinity Hospitals and Heart Of America Medical Center.
When was this NPI record last updated?
The NPPES record for Mckenzie Gronvold was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mckenzie Jo Gronvold, FNP · NPI 1073405668
Family physician in Rugby, North Dakota. Individual provider, active in the CMS NPPES registry since July 17, 2025.
## Identity
- **NPI:** 1073405668 (Entity type: Individual)
- **Enumerated:** July 17, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 202898 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2975 HIGHWAY 2 E, Rugby, ND 58368-7801
- **Phone:** (701) 776-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Good Samaritan Hospital Association (NPI 1437258969, Rugby, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** July 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073405668) · Data from the CMS NPPES public registry.