1. Home
  2. Directory
  3. Wisconsin
  4. De Pere
  5. Speech Language Pathologist
  6. NPI Profile

MRS. STACEY LYN VAN GRINSVEN MS, CFY-SLP
NPI 1104018514
Speech-Language Pathologist in De Pere, WI

Active since August 10, 2007
1601 LAWRENCE DR STE 100, DE PERE, WI 54115(920) 496-4700 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Stacey Lyn Van Grinsven Ms, Cfy-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACEY LYN VAN GRINSVEN MS, CFY-SLP (NPI 1104018514) is an individual speech-language pathologist provider in De Pere, Wisconsin, licensed in Wisconsin (2953-154) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1104018514
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. STACEY LYN VAN GRINSVENCredential: MS, CFY-SLP
Location Address1601 LAWRENCE DR STE 100De Pere, WI 54115-3931
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorYes
Enumeration DateAugust 10, 2007
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1104018514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WI · 2953-154
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1601 LAWRENCE DR STE 100, De Pere, WI 54115
Open in Google Maps ↗

Other Names 1

Former Name (1)Stacey Lyn Lamers

Other Identifiers 1

Medicaid42592900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacey Lyn Van Grinsven Ms, Cfy-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Stacey Van Grinsven reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
3.5 mi
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
NPI 1285613638 (920) 433-8287
St. Nicholas Hospital-Sisters Of The Third Order Of St Francis
49 mi
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
NPI 1275799413 (920) 496-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA MARIE LOUIE PT, DPT
Physical Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
SARAH ANN VERHAGEN SLP
Speech-Language Pathologist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
MAGGIE M LARSON OTR/L
Occupational Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
MELISSA LEE CASPER MOTR
Occupational Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
JACOB KEVIN MCDONALD PT
Physical Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 426-4700
PETER MAUTHE SMITH PT
Physical Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
MEGHAN FRASER PT, DPT
Physical Therapist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700
ERIN C OTT SLP
Speech-Language Pathologist
1601 LAWRENCE DR STE 100
DE PERE, WI 54115
Brown County (920) 496-4700

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 Stacey Van Grinsven's NPI number?

The NPI number for Stacey Van Grinsven is 1104018514. It was assigned to this individual provider in the NPPES registry on August 10, 2007. The provider is also known as Stacey Lyn Lamers.

Where is Stacey Van Grinsven located?

Stacey Van Grinsven practices at 1601 Lawrence Dr Ste 100, De Pere, WI 54115. The listed phone number is (920) 496-4700.

What is Stacey Van Grinsven's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Stacey Van Grinsven enrolled in Medicare?

Yes. Stacey Van Grinsven is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Van Grinsven's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Van Grinsven reassigns Medicare benefits to 2 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). Each 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 Stacey Van Grinsven's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Van Grinsven accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Stacey Van Grinsven 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 Stacey Van Grinsven was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.