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Dr. Stephanie Grondahl , DO

General Practice β€’ Lansing, MI

Active NPI 1760805352 Individual Practitioner Female Practitioner
Practice location in NPPES

1200 E Michigan Ave Ste 460
Lansing, MI 489121897

Call 5173642097 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1200 E Michigan Ave Ste 460

Lansing, MI 489121897

Telephone 5173642097
Fax 5173643336
Organization at the Same NPPES Address or Phone
Edward W Sparrow Hospital Association Facility NPI 1780074088

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in St Petersburg, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Grondahl has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Grondahl as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lansing and Michigan

13 active clinicians are listed under General Practice with a practice address in Lansing, MI (369 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lansing

0% of these 13 clinicians have the CMS telehealth indicator.

23.1% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES FL UO3557

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20210615002635

Enrollment State Jurisdiction

ND

PECOS Control ID

6002189487

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

6500 38th Ave N

St Petersburg, FL 337101629

Phone: 7273841414

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Whitney Beam , FNP-C

Nurse Practitioner - Family

NPI 1932713294

Family Nurse Practitioner (Certified)

Benny Lopez

Physician Assistant

NPI 1952855777

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 21, 2017

Registered at 1200 E MICHIGAN AVE STE 460, LANSING, MI 489121897 (Tel: 5173642097)

πŸ“
Updated Business Mailing Address August 21, 2017

Registered at 6500 38TH AVE N, ST PETERSBURG, FL 337101629

πŸ‘€
Provider Name / Credentials Updated August 21, 2017

Recorded as STEPHANIE GRONDAHL, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

General Practice (license number reported to NPPES: FL UO3557)

βœ…
NPI Profile Active February 02, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 02, 2014

Registered at 6500 38TH AVE N, ST PETERSBURG, FL 337101629 (Tel: 7273841414)

πŸ“
Business Mailing Address (Initial Record) February 02, 2014

Registered at 6500 38TH AVE N, ST PETERSBURG, FL 337101629

πŸ‘€
Provider Name / Credentials (Initial Record) February 02, 2014

Recorded as STEPHANIE JARNAGIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2014

General Practice (license number reported to NPPES: FL UO3557)

🟒
Initial NPI Registration & Enumeration February 02, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760805352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2014
Last Update: March 17, 2018
Sole Proprietor: No

Other General Practices in Lansing

All General Practices in Lansing

Mailing Address

6500 38th Ave N

St Petersburg, FL 337101629

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.