Individual provider Active NPI

Gary J. Gronstedt, D.O.

  • Psychiatry Physician
  • Willmar, MN
National Provider Identifier
1780688531
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
44987 Issued in MN
Practice address
2301 Transportation Rd
Willmar, MN 56201-3464
Phone
(320) 441-0120
Fax
(651) 431-7373
NPI assigned
Jun 9, 2005
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 44987 MN Primary
Child & Adolescent Psychiatry Physician 2084P0804X 44987 MN

Addresses

Primary practice location

2301 Transportation Rd
Willmar, MN 56201-3464

Mailing address

2301 Transportation Rd
Willmar, MN 56201-3464
Phone (320) 441-0120

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001539 MN Practitioner - Psychiatry 2163400417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Kansas City University of Physicians and Surgeons, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

111 Hundertmark Rd
Chaska, MN 55318-4551

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44987MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince May 13, 2016 Accepting new patients
Child and Adolescent Behavioral Health Services CurrentSince Jun 1, 2026 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2016 Accepting new patients
Fairview Clinics CurrentSince Jun 1, 2016 Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Fairview Health Services CurrentSince May 13, 2016 Accepting new patients
Ridgeview Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Ridgeview Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Allina Health System Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 215N
Chaska, MN 55318

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

550 Osborne Rd NE
Minneapolis, MN 55432
Phone (763) 236-3800

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

2301 Transportation Rd
Willmar, MN 56201
Phone (320) 441-0120

Interoperability endpoints

  • Direct secure messaging: gary.gronstedt@361010828083204.direct.elationemr.com

Organizations & group practices 13

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 13

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1780688531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 TRANSPORTATION RD",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013464",
            "telephone_number": "320-441-0120",
            "fax_number": "651-431-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 TRANSPORTATION RD",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013464",
            "telephone_number": "320-441-0120",
            "fax_number": "651-431-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONSTEDT",
        "first_name": "GARY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "44987",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MN",
            "license": "44987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.