JANNICA L GROOM (MD) – Pulmonary Disease Physician, NPI 1831162395
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
367 PULMONARY DISEASE in MN
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Provider Addresses for JANNICA L GROOM (MD)
34th Ave South, Bloomington, Hennepin County, Minnesota, 55450, United States
21110Q
BLOOMINGTON, MN 554251672
Phone: (952) 883-5790
Fax: (952) 883-5395
Type: Mailing
HealthPartners Specialty Center 401 Building, 401, Phalen Boulevard, Payne - Phalen, Saint Paul, Ramsey County, Minnesota, 55130, United States
MAIL STOP 41
ST PAUL, MN 551015302
Phone: (651) 254-7670
Fax: (651) 254-7676
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2003-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031125000395 | I | Pulmonary Disease | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 150 | 70 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 94 | 48 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 50 | 32 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 36 | 29 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 34 | 22 | $0 |
Insurance plans in this area (ZIP 55425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
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