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JUSTIN GROENEWOLD M.D.
NPI 1649681222
Emergency Medicine in Saint Paul, MN

Active since May 16, 2014PECOS Enrolled
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456(651) 254-9673 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 18, 2017 (3 updates tracked since 2017).

About Justin Groenewold M.d. NPPES

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

JUSTIN GROENEWOLD M.D. (NPI 1649681222) is an individual emergency medicine provider in Saint Paul, Minnesota, licensed in Minnesota (61454) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1649681222
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJUSTIN GROENEWOLDCredential: M.D.
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing AddressPo Box 1309, Ms 21110qMinneapolis, MN 55440-1309 · (651) 254-3456 · Fax (651) 254-9673
Phone(651) 254-3456
Fax(651) 254-9673
Sole ProprietorNo
Enumeration DateMay 16, 2014
Last NPPES UpdateJuly 18, 20253 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1649681222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MN · 61454✔ Licensed in WI · 67786
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 61454 (MN)
640 JACKSON ST, Saint Paul, MN 55101
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1420 Delaware Street SE, MMC 284Minneapolis, MN 55455 · Phone (612) 626-5031
Location 2535 Hospital RdNew Richmond, WI 54017-1449 · Phone (715) 243-2600
Location 3265 Griffin St EAmery, WI 54001-1439 · Phone (715) 268-8000
Location 4405 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6000
Location 5927 Churchill St WStillwater, MN 55082-6605 · Phone (651) 430-4529

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Groenewold M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

10

Medicare enrollment records show Justin Groenewold reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regions Hospital
Same address
Emergency Medicine
640 JACKSON ST
Saint Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • 393 clinicians in this Medicare group
NPI 1154359917 (651) 254-3908
Group Health, Inc.
1.3 mi
Pediatric Dentistry
205 WABASHA ST S
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1801941943 (651) 227-3757
Park Nicollet Clinic
9.0 mi
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1912315144 (952) 977-0700
Lakeview Memorial Hospital Association Inc.
15 mi
Neonatal
927 CHURCHILL ST W
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 94 clinicians in this Medicare group
NPI 1821114729 (651) 430-4529
Hudson Hospital, Inc.
18 mi
Critical Access
405 STAGELINE RD
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1396849303 (Wisconsin)
  • 158 clinicians in this Medicare group
NPI 1255532875 (715) 531-6000
Westfields Hospital, Inc.
29 mi
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
NPI 1881640183 (715) 243-2600
St. Croix Regional Medical Center
38 mi
Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 453 clinicians in this Medicare group
NPI 1043240922 (715) 483-3221
Amery Regional Medical Center, Inc.
43 mi
Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
NPI 1093763518 (715) 268-8000
Hutchinson Health
63 mi
General Acute Care Hospital
1095 HIGHWAY 15 S
Hutchinson, MN 55350
  • Reassigned Medicare billing, Minnesota enrollment
  • 253 clinicians in this Medicare group
NPI 1053508820 (320) 234-5000
Healthpartners Rc
93 mi
Critical Access Hospital
100 HEALTHY WAY
Olivia, MN 56277
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1629091871 (Minnesota)
  • 125 clinicians in this Medicare group
NPI 1649470782 (320) 523-1261

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 55101 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

WOJCIECH KRASZKIEWICZ M.D.
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
NICHOLAS CHARLES BOYSEN M.D.
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
MOLLY CUBINSKI
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
ABIGAIL ELLEN PETERSON M.D.
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
CAITLYN SARAH LAPRES CRNA
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
DOMINIK ELIE FLEIFEL MD
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-2005
LEE RIVARD CRNA
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Ramsey County (651) 254-3456
CHRISTINE M COLBACH MD
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101
Ramsey County (651) 254-4796

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 Justin Groenewold's NPI number?

The NPI number for Justin Groenewold is 1649681222. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Where is Justin Groenewold located?

Justin Groenewold practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Justin Groenewold's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Groenewold enrolled in Medicare?

Yes. Justin Groenewold is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Groenewold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Groenewold reassigns Medicare benefits to 10 organizations: Regions Hospital (Saint Paul, MN), Group Health, Inc. (Saint Paul, MN), Park Nicollet Clinic (Minneapolis, MN), Lakeview Memorial Hospital Association Inc. (Stillwater, MN), Hudson Hospital, Inc. (Hudson, WI) and 5 more organizations, listed in the Medicare section above. Each 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 Justin Groenewold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Groenewold was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.