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

Individual provider Certified Registered Nurse Anesthetist · NPI 1669427621

Kory Lee Groskreutz, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Edina, Minnesota. Qualified in 2002, 24 years ago. Practices with Southdale Anesthesiologists LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6401 France Ave S
Edina, MN 55435-2104
Phone: (952) 924-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R1406412 (MN)

Record details

NPI number1669427621
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESMay 19, 2008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Southdale Anesthesiologists Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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