HOLLY LYNN GROTELUSCHEN MD
NPI 1104449149
Family Medicine in Kearney, NE
About Holly Lynn Groteluschen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY LYNN GROTELUSCHEN MD (NPI 1104449149) is an individual family medicine provider in Kearney, Nebraska, licensed in Nebraska (35789) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Chi Health Good Samaritan, and is a graduate of University Of Nebraska College Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Holly Lynn Groteluschen Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Holly Groteluschen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Omaha, NE 68154
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi Health Good Samaritan
Acute Care Hospitals · Kearney, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Holly Groteluschen's NPI number?
The NPI number for Holly Groteluschen is 1104449149. It was assigned to this individual provider in the NPPES registry on May 26, 2020.
Where is Holly Groteluschen located?
Holly Groteluschen practices at 211 W 33rd St, Kearney, NE 68845. The listed phone number is (308) 865-2141.
What is Holly Groteluschen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Holly Groteluschen enrolled in Medicare?
Yes. Holly Groteluschen 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.
Which organization bills Medicare for Holly Groteluschen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Groteluschen reassigns Medicare benefits to Alegent Creighton Clinic (Omaha, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Groteluschen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Groteluschen accept?
Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Holly Groteluschen 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.
Is Holly Groteluschen affiliated with any hospitals?
According to CMS data, Holly Groteluschen is affiliated with Chi Health Good Samaritan.
When was this NPI record last updated?
The NPPES record for Holly Groteluschen was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Holly Lynn Groteluschen, MD · NPI 1104449149
Family Medicine physician in Kearney, Nebraska. Individual provider, active in the CMS NPPES registry since May 26, 2020.
## Identity
- **NPI:** 1104449149 (Entity type: Individual)
- **Enumerated:** May 26, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35789 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 W 33RD ST, Kearney, NE 68845-3484
- **Phone:** (308) 865-2141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alegent Creighton Clinic (NPI 1154680700, Omaha, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** January 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104449149) · Data from the CMS NPPES public registry.