SARAH ELIZABETH GRONEMAN (APRN) – Family Nurse Practitioner, NPI 1144198185

Family Nurse Practitioner

SARAH ELIZABETH GRONEMAN (APRN) is a healthcare provider. based in North ogden, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 8172806-4405 (UT). The NPI Number for SARAH ELIZABETH GRONEMAN (APRN) is 1144198185

Main info

Female

1 Year Of Experience

Accepts Medicare Assignment

Name

SARAH ELIZABETH GRONEMAN (APRN)

NPI

1144198185

Phone

(214) 970-6817

Address

2637 N 400 E STE 164

Enumeration Date

29 October 2025

Last Update Date

29 October 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8019971276

Graduation Year

2025 (1 year ago)

PAC ID

8820580145

Group Practice PAC ID

8527472018

Professional Enrollment ID

I20251124004546

Address ID

UT840101586BO1217X1650300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience24

Completeness85

Years active:0State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for SARAH ELIZABETH GRONEMAN (APRN)

2637 N 400 E STE 164
NORTH OGDEN, UT 844142240
Phone: (214) 970-6817
Type: Mailing
1217 E 1650 S
BOUNTIFUL, UT 840101586
Phone: (801) 997-1276
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: 2025-11-24

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

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
I20251124004546	I	Nurse Practitioner	UT	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84414)

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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: 8527472018View full group profile