DR. JENNIFER L GRUENENFELDER (M.D.) – Specialist, NPI 1922063627

DR. JENNIFER L GRUENENFELDER (M.D.) is a healthcare provider. based in Boise, Idaho. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. M-15918 (ID). The NPI Number for DR. JENNIFER L GRUENENFELDER (M.D.) is 1922063627

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER L GRUENENFELDER (M.D.)
NPI
1922063627
Phone
(208) 381-4700
Address
510 N 2ND ST STE 103
Enumeration Date
18 April 2006
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
7144567002
Graduation Year
1995 (31 years ago)
PAC ID
7810162062
Group Practice PAC ID
0143128009
Professional Enrollment ID
I20111216000128
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:20State licenses:2Digital endpointsOther names

63 UROLOGY in ID

Provider Addresses for DR. JENNIFER L GRUENENFELDER (M.D.)

  • 510 N 2ND ST STE 103

    BOISE, ID 837026081

    Phone: (208) 381-4700

    Fax: (208) 381-4977

    Type: Mailing

  • 510 N 2nd St Ste 103

    Boise, ID 837026081

    Phone: (208) 381-4700

    Fax: (208) 381-4977

    Type: Location

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Type: Location

  • 25200, La Paz Road, Laguna Hills, Orange County, California, 92653, United States

    SUITE 200

    LAGUNA HILLS, CA 926535110

    Phone: (949) 215-9516

    Fax: (949) 215-9517

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $7,976.

Total Amount is formed as General ($7,976) + Research ($0) + Ownership ($0) = $7,976.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($4,691).

Total Amount

$7,976

General + Research + Ownership

Payments

34

Total payment records

General Amount

$7,976

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-03

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
I20111216000128IUrologyCATBD
I20210903002683IUrologyIDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes181116$0
99204New patient office or other outpatient visit, 45-59 minutes109109$0
99213Established patient office or other outpatient visit, 20-29 minutes5448$0
52287Exam with injections of chemical for destruction of bladder using an endoscope5234$0
51701Insertion of temporary bladder tube5252$0
View full utilization report →

Insurance plans in this area (ZIP 83702)

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Provider's Procedures

DR. JENNIFER L GRUENENFELDER (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYCA51798Ultrasound measurement of bladder capacity after voiding206128

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: 0143128009View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCO
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Obstetrics/Gynecology, Gynecological OncologyCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

How is DR. JENNIFER L GRUENENFELDER (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JENNIFER L GRUENENFELDER (M.D.) with NPI 1922063627.
Is DR. JENNIFER L GRUENENFELDER (M.D.) listed as active for patients and plans?
The listing shows DR. JENNIFER L GRUENENFELDER (M.D.) as active in the NPI system.
What healthcare role does DR. JENNIFER L GRUENENFELDER (M.D.) hold?
Scheduling teams often label DR. JENNIFER L GRUENENFELDER (M.D.) under Other Service Providers. Clinical services aligned with this taxonomy classification.
Where is DR. JENNIFER L GRUENENFELDER (M.D.) based?
DR. JENNIFER L GRUENENFELDER (M.D.) is tied to Boise, Idaho in the data we show; additional addresses may exist on the full record.
Why does DR. JENNIFER L GRUENENFELDER (M.D.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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