Individual provider Active NPI

Rebecca K. Gruber, NP

  • Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1740578475
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6486 Issued in MN
Practice address
3300 Birch St Ste 3B
Eau Claire, WI 54703-2297
Phone
(715) 229-5550
Fax
(715) 229-5551
NPI assigned
Jul 15, 2011
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4441 WI
Nurse Practitioner 363L00000X 6486 MN Primary

Addresses

Primary practice location

3300 Birch St Ste 3B
Eau Claire, WI 54703-2297

Mailing address

3300 Birch St Ste 3B
Eau Claire, WI 54703-2297
Phone (715) 229-5550

Other practice location 1

445 Etna St Ste 44A
Saint Paul, MN 55106-5848
Phone (651) 442-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 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
I20110726000322 WI Practitioner - Nurse Practitioner 4183892730 Reassigns benefits to 1 organization
I20190509001474 MN Practitioner - Nurse Practitioner 4183892730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affirmation Health LLCGroup PAC ID 8224482682, 5 clinicians

Practice addresses (Care Compare)

445 Etna St
Suite 44a
Saint Paul, MN 55106-5848
Phone (651) 422-8881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4441WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Center CurrentSince Dec 5, 2022 Accepting new patients
Introspect Mental Health LLC CurrentSince Jun 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Affirmation Health, LLC CurrentSince Aug 1, 2024 Accepting new patients
Open Door Health Center CurrentSince Dec 5, 2022 Accepting new patients
Provisions Health Services PastSince May 25, 2021 Accepting new patients
Provisions Health PastSince Dec 13, 2022 Accepting new patients

Locations

144 2nd Ave SE
Cambridge, MN 55008
Phone (651) 271-8970

301 Village Pkwy
Circle Pines, MN 55014
Phone (612) 401-4573

309 Holly Ln
Mankato, MN 56001
Phone (507) 388-2120

445 Etna St
Ste 44A
Saint Paul, MN 55106
Phone (651) 422-8881

6200 Excelsior Blvd
Ste 204
St Louis Park, MN 55416
Phone (952) 548-9340

4801 Highway 61 N
Ste 204
White Bear Lk, MN 55110
Phone (763) 465-6700

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Interoperability endpoints

  • Direct secure messaging: rebecca.gruber.1@30176.direct.athenahealth.com
  • Direct secure messaging: rebecca.gruber.1@32401.direct.athenahealth.com
  • Direct secure messaging: rebeccagruber@odhc.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1740578475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BIRCH ST STE 3B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032297",
            "telephone_number": "715-229-5550",
            "fax_number": "715-229-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BIRCH ST STE 3B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032297",
            "telephone_number": "715-229-5550",
            "fax_number": "715-229-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Etna St Ste 44A",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551065848",
            "country_code": "US",
            "telephone_number": "651-442-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "REBECCA",
        "middle_name": "K.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4441",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "6486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.