Murphy Grotewold

Primary specialty

OptometristTaxonomy code 152W00000X

License

3555 Issued in MN

Practice address

220 E Main St
Mankato, MN 56001

Phone

(507) 345-5087

NPI assigned

Apr 2, 2018

Last updated

May 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carlson Tillisch Eye Clinic LTDGroup PAC ID 3072410521, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: murphy.grotewold@direct.revolutionehr.com

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.

• Carlson Tillisch Eye Clinic, LTD

  • Optometrist
  • Mankato, MN
  • NPI 1225116932
  Medicare reassignment Care Compare group NPD
• Carlson Tillisch Eye Clinic, LTD

  • Optometrist
  • New Ulm, MN
  • NPI 1821159435
  NPD

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526688000000",
    "number": "1376049031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N 3RD AVE E",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504507691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E MAIN ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-345-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTEWOLD",
        "first_name": "MURPHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenisha M Griggs
• Jon Grissman, D.C.
• Leslie Grommersch, PT, DPT
• Paul Gronneberg, M.A., L.P.
• Haley Nicole Groskopf, PA-C
• Rachel R Grubish
• Madisyn Grudem-Smith
• Rebecca J Gruenes
• Beverly Gruenzner, ATC, ATR
• Lynae Grunzke, RN

• Optometrist in Mankato, MN
• Providers in Mankato, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; 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.

Verify at the official NPI Registry.