LAURIE C. GROMER CNP
NPI 1851361216
Nurse Practitioner in Sioux Falls, SD

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
90.18/100
CMS Quality Rating
1309 W 17TH ST, SIOUX FALLS, SD 57104(605) 328-8000(605) 328-8001 Get Directions Write a Review

NPPES record last updated: May 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2022, Aug 5, 2019 (2 updates tracked since 2019).

About Laurie C. Gromer Cnp NPPES

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

LAURIE C. GROMER CNP (NPI 1851361216) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000445) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1851361216
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAURIE C. GROMERCredential: CNP
Location Address1309 W 17TH STSioux Falls, SD 57104-4663
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · Fax (605) 339-0309
Fax(605) 328-8001
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 26, 2006
Last NPPES UpdateMay 21, 20222 updates tracked since enumeration
NPPES CertifiedMay 21, 2022
NPI 1851361216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SD · CP000445
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.
1309 W 17TH ST, Sioux Falls, SD 57104

Other Names 1

Former Name (1)Laurie C. Knutson Cnp

Other Identifiers 4

Medicaid448690100MN
Other4994407SD · Blue Cross
Medicaid6828010SD
Other2380598SD · Americas Ppo

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

Laurie C. Gromer 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 ID143248617
PECOS Enrollment IDI20051103000742, I20241213002883
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 2

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.
222 services166 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.
108 services84 patients

Hospital Affiliations CMS Care Compare 5

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241347
Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine County
Emergency services

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.69
Improvement Activities40
Cost91.67

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
1 supplier11 claims1,050 services$2.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST
SIOUX FALLS, SD 57104
Dietitian, Registered
1309 W 17TH ST
SIOUX FALLS, SD 57104
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Radiology (Radiation Oncology)
1309 W 17TH ST
SIOUX FALLS, SD 57104
Genetic Counselor, MS
1309 W 17TH ST
SIOUX FALLS, SD 57104
Nurse Practitioner
1309 W 17TH ST, STE 101
SIOUX FALLS, SD 57104
Nurse Practitioner (Acute Care)
1309 W 17TH ST
SIOUX FALLS, SD 57104

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 Laurie Gromer's NPI number?

The NPI number for Laurie Gromer is 1851361216. It was assigned to this individual provider in the NPPES registry on January 26, 2006. The provider is also known as Laurie C. Knutson Cnp.

Where is Laurie Gromer located?

Laurie Gromer practices at 1309 W 17th St, Sioux Falls, SD 57104. The listed phone number is (605) 328-8000.

What is Laurie Gromer's specialty?

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

Is Laurie Gromer enrolled in Medicare?

Yes. Laurie Gromer 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 Laurie Gromer accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Laurie Gromer 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 Laurie Gromer affiliated with any hospitals?

According to CMS data, Laurie Gromer is affiliated with Orange City Area Health System, Sanford Canby Medical Center, Sanford Luverne Medical Center, Sanford Usd Medical Center and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Laurie Gromer was last updated on May 21, 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.