JENIFER L GROOMS (CRNP, APRN) – Nurse Practitioner, NPI 1104178896

JENIFER L GROOMS (CRNP, APRN) is a healthcare provider. based in Land o lakes, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP, APRN. They hold a License No. 14116 (WI). The NPI Number for JENIFER L GROOMS (CRNP, APRN) is 1104178896

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JENIFER L GROOMS (CRNP, APRN)
NPI
1104178896
Phone
(724) 541-0222
Address
7631 CITRUS BLOSSOM DR
Enumeration Date
5 October 2012
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8207026477
Graduation Year
2012 (14 years ago)
PAC ID
7810142841
Group Practice PAC ID
1759294887
Professional Enrollment ID
I20230727002122
Address ID
WI549137863AP3925XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:13State licenses:3Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JENIFER L GROOMS (CRNP, APRN)

  • 7631 CITRUS BLOSSOM DR

    LAND O LAKES, FL 346377471

    Phone: (724) 541-0222

    Type: Mailing

  • 17929 HUNTING BOW CIR

    LUTZ, FL 335585378

    Phone: (813) 792-8555

    Type: Location

  • 1 NOLTE DR

    KITTANNING, PA 162017111

    Phone: (724) 543-8500

    Type: Mailing

  • 3 NEENAH CTR

    NEENAH, WI 549563070

    Phone: (920) 830-5900

    Fax: (920) 830-5910

    Type: Mailing

  • 3925 N GATEWAY DR

    APPLETON, WI 549137863

    Phone: (920) 702-6371

    Fax: (920) 993-5037

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200206002390INurse PractitionerFLTBD
I20230727002122INurse PractitionerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes159153$0
87804Detection test by immunoassay with direct visual observation for influenza virus3819$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
81003Automated urinalysis test1818$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1313$0
View full utilization report →

Insurance plans in this area (ZIP 34637)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759294887View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
-FL
Hospitalist, Internal MedicineMI
P S Y C H I A T R YWI
-WI
-WA
Physician AssistantWI
Family PracticeWI
Nurse PractitionerWI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm JENIFER L GROOMS (CRNP, APRN)'s NPI?
Yes. JENIFER L GROOMS (CRNP, APRN) is listed with NPI 1104178896 in the public NPI dataset.
Does CMS list JENIFER L GROOMS (CRNP, APRN) as active?
Yes — JENIFER L GROOMS (CRNP, APRN) is active in the NPI listing used on this page.
What healthcare role does JENIFER L GROOMS (CRNP, APRN) hold?
Scheduling teams often label JENIFER L GROOMS (CRNP, APRN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JENIFER L GROOMS (CRNP, APRN) list a practice location?
Patients near Land O Lakes, Florida may find JENIFER L GROOMS (CRNP, APRN) in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.