STEPHANIE GRONDAHL DO
NPI 1760805352
General Practice in Lansing, MI

Q: What is Stephanie Grondahl's NPI number?

The NPI number for Stephanie Grondahl is 1760805352. It was assigned to this individual provider in the NPPES registry on February 2, 2014. The provider is also known as Stephanie Jarnagin.

Q: What is Stephanie Grondahl's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since February 02, 2014PECOS Enrolled

1200 E MICHIGAN AVE STE 460, LANSING, MI 48912(517) 364-2097(517) 364-3336 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Aug 21, 2017 (2 updates tracked since 2017).

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About Stephanie Grondahl Do NPPES

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

STEPHANIE GRONDAHL DO (NPI 1760805352) is an individual general practice provider in Lansing, Michigan, licensed in Florida (UO3557) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760805352

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameSTEPHANIE GRONDAHLCredential: DO

Location Address1200 E MICHIGAN AVE STE 460Lansing, MI 48912-1897

Mailing Address6500 38th Ave NSt Petersburg, FL 33710-1629

Phone(517) 364-2097

Fax(517) 364-3336

Sole ProprietorNo

Enumeration DateFebruary 2, 2014

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1760805352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · UO3557

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1200 E MICHIGAN AVE STE 460, Lansing, MI 48912

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Other Names 1

Former Name (1)Stephanie Jarnagin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, 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 (PECOS)

Stephanie Grondahl Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

MRS. SHANNON MARIE ZAPORSKI RD

Dietitian, Registered