Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicklaus Gronning

Individual provider Physician Assistant · NPI 1265683270

Nicklaus Gronning is a Physician Assistant in Lino Lakes, Minnesota. Qualified in 2008, 18 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
18
In the registry since
2008

Practice location Address checks out

576 Apollo Dr
Lino Lakes, MN 55014-3004
Phone: (651) 784-1611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1208

Record details

NPI number1265683270
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 8, 2008
Last updated in NPPESOctober 8, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Lino Lakes