Active NPI
Gina Rae Groshek
- Family Medicine Physician
- North Branch, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 67605
- Practice address
- 5366 386TH St NE
North Branch, MN 55056-5833 - Phone
- (855) 324-7843
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 67605 | MN | Primary |
Addresses
Primary practice location
5366 386TH St NE
North Branch, MN 55056-5833
Mailing address
8353 Ironwood TRL
Chisago City, MN 55013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1394 Jackson St
Suite 201
Saint Paul, MN 55117-4630
Phone (612) 315-5866
14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000
Hospital & facility affiliations
- Fairview Lakes Health Services
- Welia Health
- M Health Fairview University of MN Medical Center
- M Health Fairview St John'S Hospital
- Abbott Northwestern Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Single Specialty | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Single Specialty | Current | Accepting new patients |
| Fairview Express Care | Single Specialty | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Single Specialty | Current | Accepting new patients |
| Fairview Clinics | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000
2020 E 28th St
Ste 104
Minneapolis, MN 55407
Phone (612) 333-0770
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
Interoperability endpoints
- ggroshek477206@fairview.direct-ci.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Saint Paul, MN
- NPI 1639239445
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1598072183
-
- Multi-Specialty Clinic/Center
- Maple Grove, MN
- NPI 1841315165
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1154881878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8353 IRONWOOD TRL",
"city": "CHISAGO CITY",
"state": "MN",
"postal_code": "55013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5366 386TH ST NE",
"city": "NORTH BRANCH",
"state": "MN",
"postal_code": "550565833",
"telephone_number": "855-324-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSHEK",
"first_name": "GINA",
"middle_name": "RAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2022-07-26",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MN",
"license": "67605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Branch, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.