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AMBER NICOLE GRONINGER MD
NPI 1750818688
Family Medicine in Sioux Falls, SD

Active since May 23, 2017PECOS EnrolledAccepts Medicare Assignment
1200 S 7TH AVE, SIOUX FALLS, SD 57105(605) 336-2140(605) 336-1677 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 18, 2022, Nov 5, 2020, Aug 14, 2020 and 1 more (4 updates tracked since 2017).

About Amber Nicole Groninger Md NPPES

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

AMBER NICOLE GRONINGER MD (NPI 1750818688) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (12321) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750818688
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMBER NICOLE GRONINGERCredential: MD
Location Address1200 S 7TH AVESioux Falls, SD 57105-0900
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0900 · (605) 336-2140 · Fax (605) 336-1677
Phone(605) 336-2140
Fax(605) 336-1677
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 23, 2017
Last NPPES UpdateApril 18, 20224 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1750818688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 12321
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1200 S 7TH AVE, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.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

Amber Nicole Groninger Md 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 ID7810308293
PECOS Enrollment IDI20201117000983
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services29 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

MICHAEL ELLIOTT M.D.
Pediatrics
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
APRIL MARIE BENINGA DNP, FNP-C
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
RICKY KOOIMA M.D.
Pediatrics
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
ZACHARY MICHAEL WEBER MD
Pediatrics
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-5400
AVERA MCKENNAN
Clinic/Center (Multi-Specialty)
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 782-8307
TRICIA KNUTSON M.D.
Family Medicine
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
MICHAEL STASSEN M.D.
Family Medicine
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140
KIMBERLY BARBER
Nurse Practitioner (Family)
1200 S 7TH AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 336-2140

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 Amber Groninger's NPI number?

The NPI number for Amber Groninger is 1750818688. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Amber Groninger located?

Amber Groninger practices at 1200 S 7th Ave, Sioux Falls, SD 57105. The listed phone number is (605) 336-2140.

What is Amber Groninger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amber Groninger enrolled in Medicare?

Yes. Amber Groninger 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 Amber Groninger accept?

Health plans from Avera Health Plans and Medica list Amber Groninger 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 Amber Groninger affiliated with any hospitals?

According to CMS data, Amber Groninger is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Amber Groninger was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.