LAURIE K. GROTZINGER (PA) – Medical Physician Assistant, NPI 1043566003

LAURIE K. GROTZINGER (PA) is a healthcare provider. based in Waconia, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 11354 (MN). The NPI Number for LAURIE K. GROTZINGER (PA) is 1043566003

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE K. GROTZINGER (PA)
NPI
1043566003
Phone
(952) 442-7804
Address
560 S MAPLE ST
Enumeration Date
27 July 2012
Last Update Date
27 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524422191
Graduation Year
2012 (14 years ago)
PAC ID
8820248636
Group Practice PAC ID
9234041997
Professional Enrollment ID
I20161201001361
Address ID
MN553871752WA500XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for LAURIE K. GROTZINGER (PA)

  • 560 S MAPLE ST

    SUITE 400

    WACONIA, MN 553871733

    Phone: (952) 442-7804

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Organogenesis Inc. ($25).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161201001361IPhysician AssistantMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2821$0
View full utilization report →

Insurance plans in this area (ZIP 55387)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234041997View full group profile
NameSpecialtyState
Family PracticeMN
Internal MedicineMN
Family PracticeMN
-MN
-MN
Diagnostic RadiologyMN
Marriage And Family TherapistMN
Physician AssistantMN
Nurse PractitionerMN
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

What number should I use to identify LAURIE K. GROTZINGER (PA) for billing?
Administrative and clinical systems typically use NPI 1043566003 for LAURIE K. GROTZINGER (PA).
Is LAURIE K. GROTZINGER (PA) currently accepting referrals based on NPI status?
Registry metadata lists LAURIE K. GROTZINGER (PA) as active.
Which specialty label fits LAURIE K. GROTZINGER (PA)?
NPPES ties LAURIE K. GROTZINGER (PA) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit LAURIE K. GROTZINGER (PA) in Waconia, Minnesota?
For routing, start with Waconia, Minnesota for LAURIE K. GROTZINGER (PA), then verify phone and hours locally.
Why is information missing for LAURIE K. GROTZINGER (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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