Active NPI
Terri L Groezinger, PA
- Physician Assistant
- Monroe, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1165-023
- Practice address
- 515 22ND Ave
Monroe, WI 53566-1569 - Phone
- (608) 324-1000
- NPI assigned
- Oct 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1165-023 | WI | Primary |
Addresses
Primary practice location
515 22ND Ave
Monroe, WI 53566-1569
Mailing address
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
600 N Rush St
Stockton, IL 61085-1010
Phone (815) 947-3211
Hospital & facility affiliations
- FHN Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.84 of 100
- Quality
- 75.22
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 73.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1165-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeport Regional Health Care Foundation | Current | Accepting new patients | |
| Freeport Memorial Hospital | Past | Accepting new patients |
Locations
421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410
600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Freeport, IL
- NPI 1457337016
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Health Educator
- Freeport, IL
- NPI 1326880386
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1679725097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661569",
"telephone_number": "608-324-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661569",
"telephone_number": "608-324-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROEZINGER",
"first_name": "TERRI",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1165-023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WI
- Rosemary Ann Graham, LPN
- Diane R. Graybill Kehoe, FNP
- Green County Emergency Medical Service Inc
- Green County Family Young Men'S Christian Association
- Leah Jane Grinvalsky, DPT
- Megan Elizabeth Gross, PHARMD
- Michele M. Gruenenfelder, PA
- Emma Guenther
- Guerin Management Systems Inc
- Lance Robert Guerin, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.