Active NPI
Kelli J Groeneweg, CRNA
- Certified Registered Nurse Anesthetist
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- SRA-25007
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-2633
- Fax
- (319) 356-2940
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R027631 | SD | |
| Certified Registered Nurse Anesthetist | 367500000X | 2025027565 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | SRA-25007 | CO | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | D093491 | IA |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2633
Other practice location 1
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone (800) 862-9980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, MO, MI
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 747-3000
216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 721-4700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004364 | CT | MD | Physical Therapist |
| 0488 | SD | MD | Physical Therapist |
| SRA-25007 | CO | MD | Certified Registered Nurse Anesthetist |
| D093491 | IA | MD | Certified Registered Nurse Anesthetist |
| R027631 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current | Accepting new patients | |
| Rushmore Ambulatory Surgery Center | Past | Accepting new patients | |
| Black Hills Surgical Hospital, LLP | Past | Accepting new patients |
Locations
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
1 Barnes Jewish Hospital Plz
#P
Saint Louis, MO 63110
Phone (618) 474-1074
4960 Childrens Pl
Fl 2
Saint Louis, MO 63110
Phone (314) 362-1520
1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900
216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440
Organizations & group practices 9
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.
-
- Special Hospital
- Rapid City, SD
- NPI 1376896621
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1528005642
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
dba Black Hills Surgical Hospital
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1336009646
-
- Anesthesiology Physician
- Rapid City, SD
- NPI 1972630275
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
dba West River Ear, Nose, and Throat
- Surgery Physician
- Rapid City, SD
- NPI 1417304924
-
dba Black Hills Pediatric Dentistry Surgery Center
- Ambulatory Surgical Clinic/Center
- Rapid City, SD
- NPI 1013968718
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- Special Hospital
- Rapid City, SD
- NPI 1679535132
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1619087434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2633",
"fax_number": "319-356-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2633",
"fax_number": "319-356-2940"
}
],
"practiceLocations": [
{
"address_1": "1 Barnes Jewish Hospital Plz",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101003",
"country_code": "US",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROENEWEG",
"first_name": "KELLI",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "R027631",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2025027565",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "SRA-25007",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D093491",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.