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
Mailing address576 Apollo Dr, Lino Lakes, MN 55014-3004

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