JENIFER L GROOMS CRNP, APRN
NPI 1104178896
Nurse Practitioner - Family in Appleton, WI
About Jenifer L Grooms Crnp, Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENIFER L GROOMS CRNP, APRN (NPI 1104178896) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (14116) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
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
Jenifer L Grooms Crnp, Aprn 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 Reassignments
2Medicare enrollment records show Jenifer Grooms reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Jacksonville, FL 32277
- Reassigned Medicare billing, Florida enrollment
- 96 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thedacare Regional Med Ctr - Neenah
Acute Care Hospitals · Neenah, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
APPLETON, WI 54913
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 Jenifer Grooms's NPI number?
The NPI number for Jenifer Grooms is 1104178896. It was assigned to this individual provider in the NPPES registry on October 5, 2012.
Where is Jenifer Grooms located?
Jenifer Grooms practices at 3925 N Gateway Dr, Appleton, WI 54913. The listed phone number is (920) 702-6371.
What is Jenifer Grooms's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jenifer Grooms enrolled in Medicare?
Yes. Jenifer Grooms 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 organizations bill Medicare for Jenifer Grooms's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenifer Grooms reassigns Medicare benefits to 2 organizations: Thedacare, Incorporated (Menasha, WI) and Dwic Of Tampa Bay, Inc (Jacksonville, FL). Each 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 Jenifer Grooms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jenifer Grooms accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Jenifer Grooms 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 Jenifer Grooms affiliated with any hospitals?
According to CMS data, Jenifer Grooms is affiliated with Thedacare Regional Med Ctr - Neenah.
When was this NPI record last updated?
The NPPES record for Jenifer Grooms was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jenifer L Grooms, CRNP, APRN · NPI 1104178896
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since October 5, 2012.
## Identity
- **NPI:** 1104178896 (Entity type: Individual)
- **Enumerated:** October 5, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 14116 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3925 N GATEWAY DR, Appleton, WI 54913-7863
- **Phone:** (920) 702-6371 · **Fax:** (920) 993-5037
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Thedacare, Incorporated (NPI 1306959515, Menasha, WI); Dwic Of Tampa Bay, Inc (NPI 1700328275, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104178896) · Data from the CMS NPPES public registry.