Individual provider Active NPI

Douglas M Grube, CRNA/APNP

  • Certified Registered Nurse Anesthetist
  • Marshfield, WI
National Provider Identifier
1760420558
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
372 Issued in WI
Practice address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone
(715) 387-5511
NPI assigned
Jun 3, 2006
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 35223 WI
Certified Registered Nurse Anesthetist 367500000X 372 WI Primary

Addresses

Primary practice location

1000 N Oak Ave
Marshfield, WI 54449-5703

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 1

501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181

Other practice location 2

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-2522

Other identifiers 1

IdentifierTypeStateIssuer
43284400MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dgrube10404@direct.monroeclinic.org Direct Tomah Memorial Hospital Inc
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000586 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113983966 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.15 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
76.71

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
372WIMDSpeech-Language Pathologist
35223WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stanley Hospital & Clinics, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2015 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 30, 2020 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 31, 2013 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 11, 2016 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jan 15, 2013 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jan 17, 2026 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 11, 2016 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jul 31, 2013 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Mar 1, 2009 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 30, 2020 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Mar 18, 2015 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Mar 1, 2009 Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 30, 2020 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jan 15, 2013 Accepting new patients
Stevens Point Anesthesia Association, S.C. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

900 College Ave W
Ladysmith, WI 54848
Phone (715) 532-5561

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

1020 Kabel Ave
Rhinelander, WI 54501
Phone (715) 361-2805

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

444 E Timber Dr
Rhinelander, WI 54501
Phone (715) 369-2300

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

3301 Cranberry Blvd
Weston, WI 54476
Phone (715) 393-2100

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • Direct secure messaging: dgrube10404@direct.monroeclinic.org
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 15

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.

View all 15

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1760420558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Gopher Dr",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546604513",
            "country_code": "US",
            "telephone_number": "608-372-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Ministry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544765220",
            "country_code": "US",
            "telephone_number": "715-393-2522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBE",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CRNA/APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "35223",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43284400",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgrube10404@direct.monroeclinic.org",
            "affiliation": "Y",
            "affiliationName": "Tomah Memorial Hospital Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dgrube10404@direct.monroeclinic.org",
            "address_1": "501 Gopher Dr",
            "city": "Tomah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546604513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.

Verify at the official NPI Registry.