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MR. DEREK K GROENEWEG PA
NPI 1255888772
Physician Assistant - Surgical in Marshall, MN

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
300 S BRUCE ST, MARSHALL, MN 56258(507) 537-9007(507) 537-2734 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2016, Sep 1, 2016 (2 updates tracked since 2016).

About Mr. Derek K Groeneweg Pa NPPES

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

MR. DEREK K GROENEWEG PA (NPI 1255888772) is an individual surgical provider in Marshall, Minnesota, licensed in Minnesota (2598) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Avera Granite Falls, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255888772
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. DEREK K GROENEWEGCredential: PA
Location Address300 S BRUCE STMarshall, MN 56258-1934
Mailing Address300 S Bruce StMarshall, MN 56258-1934 · (507) 537-9007 · Fax (507) 537-2734
Phone(507) 537-9007
Fax(507) 537-2734
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 1, 2016
Last NPPES UpdateOctober 21, 20162 updates tracked since enumeration
✔ NPI 1255888772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MN · 2598
300 S BRUCE ST, Marshall, MN 56258
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.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

Mr. Derek K Groeneweg Pa 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 ID8729366752
PECOS Enrollment IDI20161026002237
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Granite Falls

Critical Access Hospitals · Granite Falls, MN
OwnershipGovernment - Local
CMS Certification Number241343
Location345 Tenth AvenueGranite Falls, MN 56241 · Yellow Medcine County
Emergency services

Avera Tyler Hospital

Critical Access Hospitals · Tyler, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241348
Location240 Willow StreetTyler, MN 56178 · Lincoln County
Emergency services

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

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.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

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.

JULIJANA BOTIC M.D.
Internal Medicine
300 S BRUCE ST
MARSHALL, MN 56258
Lyon County (507) 537-9007
MISS KATE MARIE HEGNA PA-C
Physician Assistant
300 S BRUCE ST
MARSHALL, MN 56258
Lyon County (507) 532-9661
TAYLOR RENEE KOR
Physician Assistant
300 S BRUCE ST
MARSHALL, MN 56258
Lyon County (507) 532-9661
AVERA MARSHALL
Home Health
300 S BRUCE ST
MARSHALL, MN 56258
Lyon County (507) 537-7070
LUCKY VANG D.O.
Surgery
300 S BRUCE ST
MARSHALL, MN 56258
Lyon County (507) 532-9661
MICHAEL JOHN GOBLISH
Nurse Practitioner (Psychiatric/Mental Health)
300 S BRUCE ST
MARSHALL, MN 56258
Lyon County (507) 337-2923
DR. DANIEL LISTER M.D.
Orthopaedic Surgery
300 S BRUCE ST
MARSHALL, MN 56258
Lyon County (507) 532-9661
SARA LYNN KRAFT PNP
Nurse Practitioner (Pediatrics)
300 S BRUCE ST
MARSHALL, MN 56258
Lyon County (507) 537-9007

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 Derek Groeneweg's NPI number?

The NPI number for Derek Groeneweg is 1255888772. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Derek Groeneweg located?

Derek Groeneweg practices at 300 S Bruce St, Marshall, MN 56258. The listed phone number is (507) 537-9007.

What is Derek Groeneweg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Derek Groeneweg enrolled in Medicare?

Yes. Derek Groeneweg 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 Derek Groeneweg accept?

Health plans from Avera Health Plans and Medica list Derek Groeneweg 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 Derek Groeneweg affiliated with any hospitals?

According to CMS data, Derek Groeneweg is affiliated with Avera Granite Falls, Avera Tyler Hospital and Avera Marshall Regional Medical Ctr.

When was this NPI record last updated?

The NPPES record for Derek Groeneweg was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.