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ANNA R GROTEVANT MS, RD, LDN
NPI 1669893996
Dietitian, Registered in Worcester, MA

Active since January 06, 2014
55 LAKE AVE N, WORCESTER, MA 01655(774) 443-3887(774) 443-3913 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anna R Grotevant Ms, Rd, Ldn NPPES

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

ANNA R GROTEVANT MS, RD, LDN (NPI 1669893996) is an individual dietitian, registered in Worcester, Massachusetts, licensed in Massachusetts (3557) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1669893996
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANNA R GROTEVANTCredential: MS, RD, LDN
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address159 Coburn Ave Apt 3Worcester, MA 01604-1112 · (508) 272-3613
Phone(774) 443-3887
Fax(774) 443-3913
Sole ProprietorYes
Enumeration DateJanuary 6, 2014
Last NPPES UpdateJuly 16, 2019
✔ NPI 1669893996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MA · 3557
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
55 LAKE AVE N, Worcester, MA 01655
Open in Google Maps ↗

Other Names 1

Former Name (1)Anna R Polucha

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna R Grotevant Ms, Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Anna Grotevant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Center, Inc
Same address
Dietitian, Registered
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 63 clinicians in this Medicare group
NPI 1679131361 (508) 334-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Anna Grotevant's NPI number?

The NPI number for Anna Grotevant is 1669893996. It was assigned to this individual provider in the NPPES registry on January 6, 2014. The provider is also known as Anna R Polucha.

Where is Anna Grotevant located?

Anna Grotevant practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 443-3887.

What is Anna Grotevant's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Anna Grotevant enrolled in Medicare?

Yes. Anna Grotevant is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Grotevant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Grotevant reassigns Medicare benefits to Umass Memorial Medical Center, Inc (Worcester, MA). 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 Anna Grotevant'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 Anna Grotevant was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.