JENNIFER R GRUBA PHD
NPI 1033413646
Psychologist - Clinical in Portage, WI

Q: What is Jennifer Gruba's NPI number?

The NPI number for Jennifer Gruba is 1033413646. It was assigned to this individual provider in the NPPES registry on December 23, 2010.

Q: What is Jennifer Gruba's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Gruba was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 23, 2010PECOS EnrolledAccepts Medicare Assignment

2901 HUNTERS TRL, PORTAGE, WI 53901(608) 742-5518(608) 742-4087 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2024, Jan 2, 2024, Jun 12, 2017 (3 updates tracked since 2017).

On this page

About Jennifer R Gruba Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER R GRUBA PHD (NPI 1033413646) is an individual clinical provider in Portage, Wisconsin, licensed in Wisconsin (5149-057) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cross Plains, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033413646

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJENNIFER R GRUBACredential: PHD

Location Address2901 HUNTERS TRLPortage, WI 53901-3403

Mailing Address710 N. Webb AveReedsburg, WI 53959 · (608) 524-5151 · Fax (608) 524-5353

Phone(608) 742-5518

Fax(608) 742-4087

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 23, 2010

Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1033413646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 5149-057

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 867-124 (WI)

2901 HUNTERS TRL, Portage, WI 53901

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Secondary Practice Location 1

Location 12625 Military RdCross Plains, WI 53528-9687 · Phone (608) 617-6344

Other Identifiers 1

Medicaid1033413646WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer R Gruba Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971953597

PECOS Enrollment IDI20250804003987

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Gruba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Service Associates, Sc

Same address

Mental Health (Including Community Mental Health Center)

2901 HUNTERS TRL
Portage, WI 53901

Reassigned Medicare billing, Wisconsin enrollment
44 clinicians in this Medicare group

NPI 1780610923 (608) 742-5518

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN I QUIRICONI MSW CICSW

Social Worker (Clinical)