MICHAEL WAYNE GREVENGOED (CNP) – Family Nurse Practitioner, NPI 1356837579

MICHAEL WAYNE GREVENGOED (CNP) is a healthcare provider. based in Doon, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. A127289 (IA). The NPI Number for MICHAEL WAYNE GREVENGOED (CNP) is 1356837579

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL WAYNE GREVENGOED (CNP)
NPI
1356837579
Phone
(605) 496-1502
Address
603 6TH AVE
Enumeration Date
11 July 2018
Last Update Date
20 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6059874378
Graduation Year
2018 (8 years ago)
PAC ID
1456695329
Group Practice PAC ID
6800707100
Professional Enrollment ID
I20190617001791
Address ID
SD570135800CA400XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

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Provider Addresses for MICHAEL WAYNE GREVENGOED (CNP)

  • 6th Avenue, Doon, Lyon County, Iowa, 51235, United States

    DOON, IA 512357726

    Phone: (605) 496-1502

    Type: Mailing

  • Sanford Sheldon Clinic, 800, Oak Street, Sheldon, O'Brien County, Iowa, 51201, United States

    SHELDON, IA 512011242

    Phone: (712) 324-5356

    Fax: (712) 324-6515

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Conetic Solutions, Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Conetic Solutions, Inc.$14
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: 2019-06-17

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
I20181204000268INurse PractitionerIATBD
I20190617001791INurse PractitionerSDTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 51235)

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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: 6800707100View full group profile
NameSpecialtyState
Family PracticeSD
Family PracticeMN
Nurse PractitionerSD
Nurse PractitionerSD
-SD
Nurse PractitionerSD
Nurse PractitionerMN
Orthopedic SurgerySC
Physician AssistantMN
Certified Registered Nurse Anesthetist (Crna)SD

Reviews

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Frequently asked questions

Does MICHAEL WAYNE GREVENGOED (CNP) have a public NPI I can cite?
Public records show MICHAEL WAYNE GREVENGOED (CNP) under NPI 1356837579.
Is MICHAEL WAYNE GREVENGOED (CNP) currently accepting referrals based on NPI status?
Registry metadata lists MICHAEL WAYNE GREVENGOED (CNP) as active.
Which specialty label fits MICHAEL WAYNE GREVENGOED (CNP)?
NPPES ties MICHAEL WAYNE GREVENGOED (CNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHAEL WAYNE GREVENGOED (CNP)?
MICHAEL WAYNE GREVENGOED (CNP) shows a connection to Doon, Iowa in registry-derived data.
Who maintains MICHAEL WAYNE GREVENGOED (CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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