KORY LEE GROSKREUTZ CRNA
NPI 1669427621
Nurse Anesthetist, Certified Registered in Edina, MN
About Kory Lee Groskreutz Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KORY LEE GROSKREUTZ CRNA (NPI 1669427621) is an individual nurse anesthetist, certified registered in Edina, Minnesota, licensed in Minnesota (R1406412) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kory Lee Groskreutz Crna 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 Reassignments
5Medicare enrollment records show Kory Groskreutz reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 118 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Robbinsdale, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 246 clinicians in this Medicare group
Burnsville, MN 55337
- Reassigned Medicare billing, Minnesota enrollment
- 48 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 131 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EDINA, MN 55435
EDINA, MN 55435
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 Kory Groskreutz's NPI number?
The NPI number for Kory Groskreutz is 1669427621. It was assigned to this individual provider in the NPPES registry on May 24, 2006.
Where is Kory Groskreutz located?
Kory Groskreutz practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5000.
What is Kory Groskreutz's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kory Groskreutz enrolled in Medicare?
Yes. Kory Groskreutz 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 organizations bill Medicare for Kory Groskreutz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kory Groskreutz reassigns Medicare benefits to 5 organizations: Southdale Anesthesiologists, LLC (Edina, MN), University Anesthesia Providers, LLC (Minneapolis, MN), Anesthesiology, P.A. (Robbinsdale, MN), South Metropolitan Anesthesia, PA (Burnsville, MN) and Certified Anesthesia Care, Co. (Stillwater, MN). 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 Kory Groskreutz'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 Kory Groskreutz was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Kory Lee Groskreutz, CRNA · NPI 1669427621
Nurse Anesthetist, Certified Registered physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1669427621 (Entity type: Individual)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R1406412 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6401 FRANCE AVE S, Edina, MN 55435-2104
- **Phone:** (952) 924-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Southdale Anesthesiologists, LLC (NPI 1154381804, Edina, MN); University Anesthesia Providers, LLC (NPI 1699711143, Minneapolis, MN); Anesthesiology, P.A. (NPI 1013960798, Robbinsdale, MN); South Metropolitan Anesthesia, PA (NPI 1649265737, Burnsville, MN); Certified Anesthesia Care, Co. (NPI 1699736348, Stillwater, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** May 19, 2008
- **Other identifiers:** Medicare ID-Type Unspecified 430004209 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1669427621) · Data from the CMS NPPES public registry.