Brendon Kim Groen, NP
Nurse Practitioner, Family in Rochester, MN. Individual provider (NPI-1).
NPI number1750831293
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1750831293
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brendon Kim Groen
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2016
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | CNP4797 | MN | Yes |
| 363L00000X | Nurse Practitioner | 4797 | MN | |
| 363LF0000X | Nurse Practitioner, Family | A145504 | IA | |
| 363LF0000X | Nurse Practitioner, Family | 7253 | WI | |
| 363LF0000X | Nurse Practitioner, Family | R-204839-0 | MN | |
| 363LF0000X | Nurse Practitioner, Family | 23992 | WI | |
| 363LF0000X | Nurse Practitioner, Family | 4797 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Other practice locations
1836 South Ave
La Crosse, WI 54601-5429
La Crosse, WI 54601-5429
Phone 608-782-7300
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 60 Family Nurse Practitioner providers in Rochester · All 13,674 providers in Rochester
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