Holly Lynn Groteluschen, MD
Individual provider Active NPI Family Medicine Physician · Kearney, NE
NPI 1104449149 · NPPES record last updated Jan 30, 2025
Key facts
- NPI
- 1104449149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35789 (NE)
- Practice address
- 211 W 33Rd St
Kearney, NE 68845-3484 - Phone
- (308) 865-2141
- NPI assigned
- May 26, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Clinic
Practice addresses (Care Compare)
211 W 33Rd St
Kearney, NE 68845-3484
Phone (308) 865-2141
Hospital & facility affiliations
- CHI Health Good Samaritan
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230906001799 | NE | Practitioner - Family Practice | 2769801794 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Family Medicine | Current |
Accepting new patients |
| Good Samaritan Hospital | Past | Accepting new patients | |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
| Bryan Hospital Kearney | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
3308 Samson Way
Bellevue, NE 68123
Phone (402) 291-3373
211 W 33rd St
Kearney, NE 68845
Phone (308) 236-5884
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8713 | NE | |
| Family Medicine Physician | 207Q00000X | 35789 | NE | Yes |
Addresses
Primary practice location
211 W 33Rd St
Kearney, NE 68845-3484
Mailing address
211 W 33Rd St
Kearney, NE 68845-3484
Phone (308) 865-2141
Other providers in Kearney, NE
- Bobbijo Gressley
- Kristian Greuter
- Jordan J Grooms
- Amanda Faye Grosse
- Benjamin Grossnicklaus
- Growth on the Plains, LLC
- Amy Elaine Gumb
- Sarah Renee Guthard
- Nancy Guthrie
- Jennifer Gutzwiller
All providers in Kearney, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.