MS. MELISSA JO GROSKREUTZ (LP) – Psychologist, NPI 1255362281
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,110 CLINICAL PSYCHOLOGIST in MN
Provider Addresses for MS. MELISSA JO GROSKREUTZ (LP)
816 Hubbell Ave
Mankato, MN 560012151
Phone: (507) 387-5586
Type: Location
209 S 2nd St Ste 306
Mankato, MN 560013639
Phone: (507) 387-1350
Fax: (507) 387-6605
Type: Location
3756 210TH AVE
WELLS, MN 560973205
Phone:
Type: Mailing
342, Belgrade Avenue, Riverbend Estates, North Mankato, Nicollet County, Minnesota, 56003, United States
NORTH MANKATO, MN 560033804
Phone: (507) 388-3181
Fax: (507) 388-3199
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171011001283 | I | Psychologist Billing Independently | MN | TBD |
| I20220511000471 | I | Clinical Psychologist | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MN | |
| Nurse Practitioner | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | MN | |
| Mental Health Counselor | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | MN | |
| Marriage And Family Therapist | MN | |
| Mental Health Counselor | MN |
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