GINA GRONEWOLD CNP
NPI 1912516873
Nurse Practitioner - Family in Sioux Falls, SD

Q: What is Gina Gronewold's NPI number?

The NPI number for Gina Gronewold is 1912516873. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Q: What is Gina Gronewold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Gronewold was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 27, 2020PECOS EnrolledAccepts Medicare Assignment

5019 S WESTERN AVE STE 200, SIOUX FALLS, SD 57108(605) 328-9700 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Nov 15, 2022, Jul 27, 2020 (3 updates tracked since 2020).

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About Gina Gronewold Cnp NPPES

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

GINA GRONEWOLD CNP (NPI 1912516873) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001786) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1912516873

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGINA GRONEWOLDCredential: CNP

Location Address5019 S WESTERN AVE STE 200Sioux Falls, SD 57108-5155

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 328-9700

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 27, 2020

Last NPPES UpdateMay 18, 20263 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1912516873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SD · CP001786

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License CP001786 (SD)

5019 S WESTERN AVE STE 200, Sioux Falls, SD 57108

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Secondary Practice Location 1

Location 11325 S Cliff AveSioux Falls, SD 57105-1007 · Phone (605) 322-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Gina Gronewold 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 ID5496173239

PECOS Enrollment IDI20200910003376

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 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

39 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number430014

Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County

Emergency services Birthing friendly

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 57108 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 12

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

KATHRYN SCORE M.D.

Family Medicine