NATHAN R GRUMDAHL CNP
NPI 1447989074
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn Park, MN

Active since June 08, 2022PECOS EnrolledAccepts Medicare Assignment
5500 94TH AVE N, BROOKLYN PARK, MN 55443(952) 826-8475 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Jun 8, 2022 (2 updates tracked since 2022).

About Nathan R Grumdahl Cnp NPPES

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

NATHAN R GRUMDAHL CNP (NPI 1447989074) is an individual psychiatric/mental health provider in Brooklyn Park, Minnesota, licensed in Minnesota (9441) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447989074
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameNATHAN R GRUMDAHLCredential: CNP
Location Address5500 94TH AVE NBrooklyn Park, MN 55443-1992
Mailing Address5500 94th Ave NBrooklyn Park, MN 55443-1992 · (763) 762-6870
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 8, 2022
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1447989074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MN · 9441
5500 94TH AVE N, Brooklyn Park, MN 55443

Accepted 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

Nathan R Grumdahl Cnp 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 ID1951778059
PECOS Enrollment IDI20240522003387
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 55443 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Social Worker (Clinical)
5500 94TH AVE N
BROOKLYN PARK, MN 55443
Occupational Therapist
5500 94TH AVE N
BROOKLYN PARK, MN 55443
Social Worker (Clinical)
5500 94TH AVE N
BROOKLYN PARK, MN 55443
Marriage & Family Therapist
5500 94TH AVE N
BROOKLYN PARK, MN 55443
Social Worker (Clinical)
5500 94TH AVE N
BROOKLYN PARK, MN 55443
Nurse Practitioner (Psychiatric/Mental Health)
5500 94TH AVE N
BROOKLYN PARK, MN 55443
Social Worker (Clinical)
5500 94TH AVE N
BROOKLYN PARK, MN 55443
Nurse Practitioner (Psychiatric/Mental Health)
5500 94TH AVE N
BROOKLYN PARK, MN 55443

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 Nathan Grumdahl's NPI number?

The NPI number for Nathan Grumdahl is 1447989074. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Nathan Grumdahl located?

Nathan Grumdahl practices at 5500 94th Ave N, Brooklyn Park, MN 55443. The listed phone number is (952) 826-8475.

What is Nathan Grumdahl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nathan Grumdahl enrolled in Medicare?

Yes. Nathan Grumdahl 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.

What insurance does Nathan Grumdahl accept?

Health plans from HealthPartners list Nathan Grumdahl 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.

When was this NPI record last updated?

The NPPES record for Nathan Grumdahl was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.