CHELSIE LEE GROCHOLSKI OD
NPI 1861876260
Optometrist in Saginaw, MI

Active since July 15, 2015PECOS EnrolledAccepts Medicare Assignment
5161 CARDINAL PARK DR, SAGINAW, MI 48604(989) 797-2400(989) 249-1035 Get Directions Write a Review

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

Record update history: Apr 16, 2026, Mar 30, 2026 (2 updates tracked since 2026).

About Chelsie Lee Grocholski Od NPPES

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

CHELSIE LEE GROCHOLSKI OD (NPI 1861876260) is an individual optometrist in Saginaw, Michigan, licensed in Michigan (4901005933) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Ferris State College - College Of Optometry (2015).

NPPES Registry Identity

NPI1861876260
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCHELSIE LEE GROCHOLSKICredential: OD
Location Address5161 CARDINAL PARK DRSaginaw, MI 48604-9435
Mailing Address3220 W Armitage Ave Apt 300Chicago, IL 60647-3797 · (773) 661-6615 · Fax (773) 698-7408
Fax(989) 249-1035
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2015
Enumeration DateJuly 15, 2015
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1861876260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MI · 4901005933✔ Licensed in IL · 046010898
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5161 CARDINAL PARK DR, Saginaw, MI 48604

Other Names 1

Other Name (5)Chelsie L Rupp Od

Secondary Practice Location 1

Location 17447 W Talcott Ave, #300Chicago, IL 60631-3745 · Phone (773) 775-0811 · Fax (773) 775-0818

Accepted Insurance

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

Chelsie Lee Grocholski Od 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 ID5799064622
PECOS Enrollment IDI20260411000068
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

3

Medicare enrollment records show Chelsie Grocholski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
5161 CARDINAL PARK DRIVE
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
Optometrist
1243 S WABASH AVE, UNIT 101
Chicago, IL 60605
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
Optometrist
329 W 18TH ST, #311
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Ageless Eye Care PC
  • 8 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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48604 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Ophthalmology
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Prosthetic/Orthotic Supplier
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Nurse Anesthetist, Certified Registered
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Ophthalmology
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Occupational Therapist
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Audiologist-Hearing Aid Fitter
5161 CARDINAL PARK DR
SAGINAW, MI 48604
Eyewear Supplier
5161 CARDINAL PARK DR
SAGINAW, MI 48604

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 Chelsie Grocholski's NPI number?

The NPI number for Chelsie Grocholski is 1861876260. It was assigned to this individual provider in the NPPES registry on July 15, 2015. The provider is also known as Chelsie L Rupp Od.

Where is Chelsie Grocholski located?

Chelsie Grocholski practices at 5161 Cardinal Park Dr, Saginaw, MI 48604. The listed phone number is (989) 797-2400.

What is Chelsie Grocholski's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Chelsie Grocholski enrolled in Medicare?

Yes. Chelsie Grocholski 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 Chelsie Grocholski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chelsie Grocholski reassigns Medicare benefits to 3 organizations: Andersen Eye Associates, Plc (Saginaw, MI), Village Eye Care Ltd (Chicago, IL) and Ageless Eye Care P.C. (Chicago, IL). 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 Chelsie Grocholski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chelsie Grocholski accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 11 other insurers list Chelsie Grocholski 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 Chelsie Grocholski was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.