Individual provider Active NPI

Michele Davis Groetzinger, FNP

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1255770970
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
723904 Issued in TX
Practice address
2675 S Abilene St Ste 100
Aurora, CO 80014-2363
Phone
(720) 507-4779
Fax
(833) 941-5047
NPI assigned
Jun 15, 2013
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 723904 TX Primary

Addresses

Primary practice location

2675 S Abilene St Ste 100
Aurora, CO 80014-2363

Mailing address

201 Westlane Cir
Waco, TX 76712-3186
Phone (254) 855-0829

Other practice location 1

201 Westlane Cir
Waco, TX 76712-3186
Phone (254) 855-0829

Other practice location 2

14221 E 4th Ave Ste 2-126
Aurora, CO 80011-8735
Phone (720) 507-4779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131014000639 TX Practitioner - Nurse Practitioner 6709029697 Reassigns benefits to 6 organizations
Practice locations: Temple, TX
I20220615003203 CO Practitioner - Nurse Practitioner 6709029697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mile High Psychiatry LLCGroup PAC ID 9032459656, 33 clinicians
GP Medical Services, LLCGroup PAC ID 9436570199, 2 clinicians
Certified Nurse Practitioners, PCGroup PAC ID 3173694031, 4 clinicians
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians
Vesper Medical Care PLLCGroup PAC ID 4880097237, 27 clinicians

Practice addresses (Care Compare)

14221 E 4TH Ave
Suite 2 126
Aurora, CO 80011-8735
Phone (720) 507-4779

3 Hillandale Rd
Waco, TX 76710-1024
Phone (254) 855-0829

5900 Clover LN
Waco, TX 76710-2809
Phone (254) 772-0610

6600 Fish Pond Rd
Suite 202a
Waco, TX 76710-2582
Phone (254) 732-6789

7005 Mira Loma LN
Suite 101
Austin, TX 78723-1411
Phone (512) 470-5600

7200 Westover Rd
Waco, TX 76710-1084

8416 Old McGregor Rd
Woodway, TX 76712-6499
Phone (254) 307-3997

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vesper Medical Care PLLC CurrentSince Apr 1, 2023 Accepting new patients
Certified Nurse Practitioners, PC Family CurrentSince Jun 13, 2013 Accepting new patients
Seton Family of Doctors CurrentSince Aug 1, 2023 Accepting new patients
Providence Health Alliance CurrentSince Apr 1, 2019 Accepting new patients
GP Medical Services, LLC CurrentSince Mar 1, 2020 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Aug 1, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2018 Accepting new patients
Mile High Psychiatry LLC CurrentSince Apr 12, 2022 Accepting new patients
Mile High Psychiatry, LLC CurrentSince Apr 12, 2022 Accepting new patients
Providence Health Alliance CurrentSince Apr 1, 2019 Accepting new patients
Mile High Psychiatry LLC Past Accepting new patients

Locations

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

15355 E Colfax Ave
Unit 111717
Aurora, CO 80042

2675 S Abilene St
Ste 100
Aurora, CO 80014

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

7005 Mira Loma Ln
Ste 101
Austin, TX 78723
Phone (254) 640-9581

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

5900 Clover Ln
Waco, TX 76710
Phone (254) 772-0610

6600 Fish Pond Rd
Ste 101
Waco, TX 76710
Phone (254) 776-3188

6600 Fish Pond Rd
Ste 202A
Waco, TX 76710
Phone (254) 265-7300

8416 Old McGregor Rd
Woodway, TX 76712
Phone (254) 307-3997

Interoperability endpoints

  • Direct secure messaging: michele.groetzinger.1@27879.direct.athenahealth.com
  • Direct secure messaging: michele.groetzinger.1@8363.direct.athenahealth.com
  • Direct secure messaging: michele.groetzinger.1@9635.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1255770970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WESTLANE CIR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123186",
            "telephone_number": "254-855-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S ABILENE ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142363",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Westlane Cir",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767123186",
            "country_code": "US",
            "telephone_number": "254-855-0829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14221 E 4th Ave Ste 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROETZINGER",
        "first_name": "MICHELE",
        "middle_name": "DAVIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "723904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.