MARK M. GRAMBLICKA DC
NPI 1093896698
Chiropractor in St Francis, WI
About Mark M. Gramblicka Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK M. GRAMBLICKA DC (NPI 1093896698) is an individual chiropractor in St Francis, Wisconsin, licensed in Wisconsin (4333) and active in the NPI registry since October 2006. He is a graduate of National College Of Chiropractic (2000).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark M. Gramblicka Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mark Gramblicka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Gramblicka's NPI number?
The NPI number for Mark Gramblicka is 1093896698. It was assigned to this individual provider in the NPPES registry on October 18, 2006.
Where is Mark Gramblicka located?
Mark Gramblicka practices at 2000 E. Layton Ave, St Francis, WI 53235. The listed phone number is (414) 744-6589.
What is Mark Gramblicka's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mark Gramblicka enrolled in Medicare?
Yes. Mark Gramblicka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Gramblicka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Gramblicka reassigns Medicare benefits to Lakeshore Medical Clinic, LLC (Saint Francis, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Gramblicka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Gramblicka accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Mark Gramblicka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mark Gramblicka was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mark M. Gramblicka, DC · NPI 1093896698
Chiropractor provider in St Francis, Wisconsin. Individual provider, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1093896698 (Entity type: Individual)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 4333 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 E. LAYTON AVE, St Francis, WI 53235-6053
- **Phone:** (414) 744-6589 · **Fax:** (414) 747-8848
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Lakeshore Medical Clinic, LLC (NPI 1003861188, Saint Francis, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** National College Of Chiropractic, class of 2000
## Record status
- **NPPES last updated:** July 21, 2025
- **Other identifiers:** Medicaid 100004678 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1093896698) · Data from the CMS NPPES public registry.