Sandra R Van Groll , APNP
Nurse Practitioner β’ Two Rivers, WI
5300 Memorial Dr
Two Rivers, WI 542413923
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
5300 Memorial Dr
Two Rivers, WI 542413923
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
NPI first issued
2017
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, βDoes your provider accept Medicare as full payment?β
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.
Compared with the same specialty in Two Rivers and Wisconsin
18 active clinicians are listed under Nurse Practitioner with a practice address in Two Rivers, WI (3,995 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Two Rivers
16.7% of these 18 clinicians have the CMS telehealth indicator.
66.7% of these 18 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
Self-certified to NPPES: 2024-08-28NUCC Taxonomy Code: 363L00000X
(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.
NUCC Taxonomy Code: 363LP0200X
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 9207937337)
Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 4143892338)
Nurse Practitioner (license number reported to NPPES: WI 7927)
NPI status registered as active in NPPES database
Registered at 5300 MEMORIAL DR, TWO RIVERS, WI 542413923 (Tel: 9207937337)
Registered at 11622 ZANDER RD, MARIBEL, WI 542279741 (Tel: 9206558189)
Recorded as SANDRA VAN GROLL, APNP
Nurse Practitioner (license number reported to NPPES: WI 7927-33)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Two Rivers
- Lisa Kumbalek, NP
- Carey Willman, NP
- Mary Gospodarek, APNP
- Philip Micksch, NP
- Madelyn Boney, NP
- Kathleen Boettcher
Mailing Address
Po Box 735044
Chicago, IL 606735044
Phone: 9207937337