KELSEY ANN GRUBA (LMFT) – Marriage & Family Therapist, NPI 1598329229

Marriage & Family Therapist

KELSEY ANN GRUBA (LMFT) is a healthcare provider. based in Milaca, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 3632 (MN). The NPI Number for KELSEY ANN GRUBA (LMFT) is 1598329229

Main info

Female

11 Years Of Experience

Accepts Medicare Assignment

Name

KELSEY ANN GRUBA (LMFT)

NPI

1598329229

Phone

(320) 983-2335

Address

160 3RD AVE NW

Enumeration Date

29 April 2019

Last Update Date

8 March 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3209832335

Graduation Year

2015 (11 years ago)

PAC ID

6901245505

Group Practice PAC ID

1850571795

Professional Enrollment ID

I20240416001087

Address ID

MN563531737MI150XXNWXX402

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness75

Years active:7State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for KELSEY ANN GRUBA (LMFT)

160, 3rd Avenue Northwest, Milaca, Mille Lacs County, Minnesota, 56353, United States
MILACA, MN 563531555
Phone: (320) 983-2335
Fax: (651) 342-8029
Type: Location
15010TH ST NW, STE 2
MILACA, MN 563531555
Phone: (320) 983-2335
Fax: (651) 342-8029
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: 2024-04-16

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

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
I20240416001087	I	Marriage And Family Therapist	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56353)

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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: 1850571795View full group profile