Melissa Jo Groskreutz, LP
NPI 1255362281ActiveIndividual· Psychologist· North Mankato, MN
Psychologist (LP) with Fernbrook Family Center Inc, practicing in North Mankato, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - psychologist billing independently.
Overview
| NPI | 1255362281 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LP |
| Sole proprietor | No |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP4018 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN); Practitioner - Psychologist Billing Independently (MN) |
|---|
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Fernbrook Family Center IncOwatonna, MN · 32 clinicians
Other Psychologist providers in North Mankato
- 1386717700