Individual provider Active NPI

Justin Paul Grube, PA-C

  • Physician Assistant
  • Eau Claire, WI
National Provider Identifier
1811217417
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7515 Issued in WI
Practice address
1400 Bellinger Street
Eau Claire, WI 54703-5222
Phone
(715) 838-5222
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 544 WY
Surgical Physician Assistant 363AS0400X 544 WY
Physician Assistant 363A00000X 7515 WI Primary
Physician Assistant 363A00000X 14748 MN

Addresses

Primary practice location

1400 Bellinger Street
Eau Claire, WI 54703-5222

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511

Other practice location 1

411 Stageline Rd Ste 150
Hudson, WI 54016-7848
Phone (715) 531-6700

Other practice location 2

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

Other practice location 3

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-3400

Other practice location 4

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 5

555 E Broadway Ave Ste 229
Jackson, WY 83001
Phone (307) 739-7690

Other practice location 6

945 W Broadway
Suite 202
Jackson, WY 83001-8217
Phone (307) 734-5999

Other practice location 7

625 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 733-3636

Other practice location 8

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone (651) 439-1234

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgrube2276838@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231218000920 WI Practitioner - Physician Assistant 3072701101 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic Health System-Northwest Wisconsin Region IncGroup PAC ID 4385553627, shared by 21 NPIs, 797 clinicians

Practice addresses (Care Compare)

1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806

1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222

733 W Clairemont Ave
Eau Claire, WI 54701-6101
Phone (715) 838-5222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
96.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7515WIMDMental Health Counselor
3004COMDCognitive & Behavioral Psychologist
544WYMDChiropractor
14748MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Mar 2, 2026 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Mar 2, 2026 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Hudson Hospital, Inc. CurrentSince May 9, 2024 Accepting new patients
Group Health, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Amery Regional Medical Center, Inc. Physician Assistant CurrentSince Jan 8, 2024 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Oct 28, 2024 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Oct 28, 2024 Accepting new patients
Steadman Clinic Professional LLC Past Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients
Angus Goetz DO PC PastSince May 22, 2008 Accepting new patients
Teton Outpatient Services LLC Past Accepting new patients

Locations

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

411 Stageline Rd
Ste 150
Hudson, WI 54016
Phone (715) 531-6700

2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

Interoperability endpoints

  • Direct secure messaging: jgrube2276838@ehrdirect.mayoclinicmsg.org

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 and National Provider Directory roles.

View all 15

Hospital & facility affiliations 4

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1811217417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BELLINGER STREET",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035222",
            "telephone_number": "715-838-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Stageline Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6700",
            "fax_number": "715-531-6701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Griffin St E",
            "address_purpose": "LOCATION",
            "city": "Amery",
            "state": "WI",
            "postal_code": "540011439",
            "country_code": "US",
            "telephone_number": "715-268-8000",
            "fax_number": "715-268-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-3400",
            "fax_number": "715-246-8980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 E Broadway Ave Ste 229",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "83001",
            "country_code": "US",
            "telephone_number": "307-739-7690",
            "fax_number": "307-739-7644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 W Broadway",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018217",
            "country_code": "US",
            "telephone_number": "307-734-5999",
            "fax_number": "307-734-0345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018642",
            "country_code": "US",
            "telephone_number": "307-733-3636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Curve Crest Blvd W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826040",
            "country_code": "US",
            "telephone_number": "651-439-1234",
            "fax_number": "651-275-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBE",
        "first_name": "JUSTIN",
        "middle_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "544",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WY",
            "license": "544",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7515",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgrube2276838@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1400 Bellinger Street",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547035222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.