JACOB EARL GRUND
NPI 1336079524
Optometrist in Park Rapids, MN

Q: What is Jacob Grund's NPI number?

The NPI number for Jacob Grund is 1336079524. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Q: What is Jacob Grund's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Grund was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 20, 2026PECOS EnrolledAccepts Medicare Assignment

110 7TH ST W, PARK RAPIDS, MN 56470(218) 699-3121 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, May 20, 2026 (2 updates tracked since 2026).

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About Jacob Earl Grund NPPES

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

JACOB EARL GRUND (NPI 1336079524) is an individual optometrist in Park Rapids, Minnesota, licensed in Minnesota (4063) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1336079524

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJACOB EARL GRUND

Location Address110 7TH ST WPark Rapids, MN 56470-1872

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419

Phone(218) 699-3121

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 20, 2026

Last NPPES UpdateJune 22, 20262 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1336079524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MN · 4063

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

110 7TH ST W, Park Rapids, MN 56470

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Sanford Health Plan.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

Jacob Earl Grund 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 ID345704177

PECOS Enrollment IDI20260713003990

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Grund reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Health Of Northern Minnesota

26 mi

Physical Therapy

106 5TH ST SOUTH
Walker, MN 56484

Reassigned Medicare billing, Minnesota enrollment
607 clinicians in this Medicare group

NPI 1902261456 (218) 547-1900

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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240100

Location1300 Anne St NWBemidji, MN 56601 · Beltrami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56470 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 7

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

SHANE D NYGARD MD

Family Medicine