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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: August 16, 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.

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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (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.

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) 265-1254
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.

What insurance does Justin Groenewold accept?

Health plans from Medica list Justin Groenewold 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 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 13 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.