MADISON RAE GROBERG
NPI 1043837404
Physician Assistant - Medical in Logan, UT
About Madison Rae Groberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON RAE GROBERG (NPI 1043837404) is an individual medical provider in Logan, Utah, licensed in Idaho (PA-2019) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Madison Rae Groberg 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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Madison Groberg's NPI number?
The NPI number for Madison Groberg is 1043837404. It was assigned to this individual provider in the NPPES registry on July 1, 2020.
Where is Madison Groberg located?
Madison Groberg practices at 115 Golf Course Rd Ste E, Logan, UT 84321. The listed phone number is (435) 999-4059.
What is Madison Groberg's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Madison Groberg enrolled in Medicare?
Yes. Madison Groberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Madison Groberg accept?
Health plans from Moda Health Plan, Inc., Providence Health Plan, Select Health and University of Utah Health Plans list Madison Groberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Madison Groberg was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Madison Rae Groberg · NPI 1043837404
Medical physician in Logan, Utah. Individual provider, active in the CMS NPPES registry since July 1, 2020.
## Identity
- **NPI:** 1043837404 (Entity type: Individual)
- **Enumerated:** July 1, 2020
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA-2019 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 115 GOLF COURSE RD STE E, Logan, UT 84321-5934
- **Phone:** (435) 999-4059
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043837404) · Data from the CMS NPPES public registry.