Look up the most recent NPI and PECOS records

Janet L Gruendemann

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Janet L Gruendemann does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1598750903
Provider Type
Individual
Full Name
Gruendemann, Janet L
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
9/13/2005
Last Updated
9/2/2008

Contact Information

Practice Location

411 Lincoln St, Neenah, WI 54956-2753

(920) 727-5810

Unlisted Fax

Mailing Location

411 Lincoln St, Neenah, WI 54956-2753

(920) 727-5810

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 33033 Wisconsin

Provider Identifiers

ID	Description	Issuer
ID 43833700	Description Medicaid	Issuer Unlisted Wisconsin

Janet L Gruendemann

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Wilmet, Lauren Christine

St Peter, Brandon M

Schiesl, Linda L

Piwoni, Stephanie Jean

Sagorac, Karla L

Gehrke, Ashley

Ver Voort, Nicole

Hoersch, Bonnie B

Williams, Christopher John

Ertmer, Olivia