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

Jared Mathew Grootwassink, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1922675693

Jared Mathew Grootwassink, MD is an Obstetrics/Gynecology in Minnetonka, Minnesota. Graduated from Creighton University School of Medicine in 2021, 5 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
5
Trained at
Creighton University School of Medicine
Licensed in
IL, MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14001 Ridgedale Dr Ste 200
Minnetonka, MN 55305-1747
Phone: (952) 249-2000
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 78992 (MN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 125.077905 (IL)

Record details

NPI number1922675693
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing addressPo Box 19640, Springfield, IL 62794-9640

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Premier Obgyn Of Minnesota Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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