COLLIN GROTHAUS (AGACNP, CNP) – Acute Care Nurse Practitioner, NPI 1730897703

COLLIN GROTHAUS (AGACNP, CNP) is a healthcare provider. based in Columbus grove, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP, CNP. They hold a License No. 0032129 (OH). The NPI Number for COLLIN GROTHAUS (AGACNP, CNP) is 1730897703

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
COLLIN GROTHAUS (AGACNP, CNP)
NPI
1730897703
Phone
(567) 204-4499
Address
308 TAFT ST
Enumeration Date
9 November 2022
Last Update Date
9 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2168441000
Graduation Year
2022 (4 years ago)
PAC ID
3870964430
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20230119000891
Address ID
OH441061716CL11100AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for COLLIN GROTHAUS (AGACNP, CNP)

  • 308 TAFT ST

    COLUMBUS GROVE, OH 458301122

    Phone: (567) 204-4499

    Type: Mailing

  • 630 E RIVER ST

    ELYRIA, OH 440355902

    Phone: (440) 329-7500

    Type: Location

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 $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: ABIOMED ($126).

Total Amount

$142

General + Research + Ownership

Payments

2

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$126
Merck Sharp & Dohme LLC$16
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: 2023-01-19

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
I20230119000891INurse PractitionerOHTBD

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
99291Critical care, first 30-74 minutes5834$0
View full utilization report →

Insurance plans in this area (ZIP 45830)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

What federal number belongs to COLLIN GROTHAUS (AGACNP, CNP)?
The federal identifier for COLLIN GROTHAUS (AGACNP, CNP) is NPI 1730897703.
Is COLLIN GROTHAUS (AGACNP, CNP) currently active in the NPI registry?
CMS-published data lists COLLIN GROTHAUS (AGACNP, CNP) as an active registrant.
Can you summarize COLLIN GROTHAUS (AGACNP, CNP)'s specialty in plain language?
Clinically, the directory lists COLLIN GROTHAUS (AGACNP, CNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for COLLIN GROTHAUS (AGACNP, CNP)?
We surface Columbus Grove, Ohio for COLLIN GROTHAUS (AGACNP, CNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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