Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenifer L Grooms, CRNP, APRN

Individual provider Family Nurse Practitioner · NPI 1104178896

Jenifer L Grooms, CRNP, APRN is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2012, 14 years ago. Practices with Thedacare, Incorporated, a 654-clinician group and accepts Medicare assignment. Licensed in Florida, Pennsylvania and Wisconsin.

Years since qualifying
14
Licensed in
FL, PA, WI
In the registry since
2012
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

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Practice location Address checks out

3925 N Gateway Dr
Appleton, WI 54913-7863
Phone: (920) 702-6371
Fax: (920) 993-5037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14116 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence SP012418 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11005606 (FL)

Record details

NPI number1104178896
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP , APRN
Sole proprietorNo
NPI enumeratedOctober 5, 2012
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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