MS. JENNIFER GRUBER APNP - NPI 1134515703 - Nurse Practitioner in Fort Atkinson, WI

Q: What is Jennifer Gruber's NPI number?

The NPI number for Jennifer Gruber is 1134515703. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Q: What is Jennifer Gruber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Gruber was last updated on October 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Jennifer Gruber Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER GRUBER APNP (NPI 1134515703) is an individual nurse practitioner in Fort Atkinson, Wisconsin, licensed in Wisconsin (6307) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134515703

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. JENNIFER GRUBERCredential: APNP

Location Address650 MCMILLEN STFort Atkinson, WI 53538-1275

Mailing AddressPo Box 249Fort Atkinson, WI 53538-0249 · (920) 563-4466

Phone(920) 563-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 10, 2015

Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration

NPPES CertifiedOctober 7, 2022

✔ NPI 1134515703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 6307

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 6307 (WI)

650 MCMILLEN ST, Fort Atkinson, WI 53538

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Other Identifiers 1

Medicaid1134515703WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer Gruber Apnp 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.

PECOS PAC ID1951647858

PECOS Enrollment IDI20250107003392

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH H LYNK MD

Obstetrics & Gynecology