MR. JOHN R GRANDGENETT (APRN) – Family Nurse Practitioner, NPI 1174537849

MR. JOHN R GRANDGENETT (APRN) is a healthcare provider. based in Lincoln, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 110342 (NE). The NPI Number for MR. JOHN R GRANDGENETT (APRN) is 1174537849

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN R GRANDGENETT (APRN)
NPI
1174537849
Phone
(402) 477-6600
Address
3100 N 14TH ST
Enumeration Date
28 July 2006
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024761455
Graduation Year
1999 (27 years ago)
PAC ID
5698891786
Group Practice PAC ID
6800706672
Professional Enrollment ID
I20100927000461
Address ID
NE685212134LI3100XSTXX401

Contacts

Secure Messaging
john.grandgenett.p1@direct.bluestemlincoln.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,112 NURSE PRACTITIONER in NE

Provider Addresses for MR. JOHN R GRANDGENETT (APRN)

  • 3100, North 14th Street, Belmont, Lincoln, Lancaster County, Nebraska, 68521, United States

    LINCOLN, NE 685212134

    Phone: (402) 477-6600

    Fax: (402) 477-7369

    Type: Mailing

  • 1021 N 27TH ST

    LINCOLN, NE 685031803

    Phone: (402) 476-1455

    Fax: (402) 476-1670

    Type: Mailing

  • 3100 N 14TH ST STE 201

    LINCOLN, NE 685212134

    Phone: (402) 476-1455

    Fax: (402) 476-1670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $1,782.

Total Amount is formed as General ($1,782) + Research ($0) + Ownership ($0) = $1,782.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($608).

Total Amount

$1,782

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,782

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2010-09-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100927000461INurse PractitionerNETBD

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
83036Hemoglobin a1c level9543$0
82043Urine microalbumin (protein) level2423$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2019$0
81002Urinalysis, manual test1815$0
71046X-ray of chest, 2 views1111$0
View full utilization report →

Insurance plans in this area (ZIP 68521)

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Provider's Procedures

MR. JOHN R GRANDGENETT (APRN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERNE83036Hemoglobin A1C level6841
NURSE PRACTITIONERNE90670Pneumococcal vaccine for injection into muscle1313

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: 6800706672View full group profile
NameSpecialtyState
Nurse PractitionerNE
Physician AssistantNE
Family PracticeNE
Family Practice, Obstetrics/GynecologyNE
Family PracticeNE
Clinical PsychologistNE
Pediatric Medicine, Internal MedicineNE
Family Practice, Emergency MedicineNE
Clinical PsychologistNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What number should I use to identify MR. JOHN R GRANDGENETT (APRN) for billing?
Administrative and clinical systems typically use NPI 1174537849 for MR. JOHN R GRANDGENETT (APRN).
Quick check: is MR. JOHN R GRANDGENETT (APRN) active?
Public NPPES data shows MR. JOHN R GRANDGENETT (APRN) with an active NPI status right now.
How should patients interpret MR. JOHN R GRANDGENETT (APRN)'s specialty?
The extract shows Family Nurse Practitioner for MR. JOHN R GRANDGENETT (APRN). Clinical services aligned with this taxonomy classification.
Can patients visit MR. JOHN R GRANDGENETT (APRN) in Lincoln, Nebraska?
For routing, start with Lincoln, Nebraska for MR. JOHN R GRANDGENETT (APRN), then verify phone and hours locally.
Why is information missing for MR. JOHN R GRANDGENETT (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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