MARISSA ANN GRAMOLL MS
NPI 1215531025
Counselor - Professional in Menomonie, WI

Q: What is Marissa Gramoll's NPI number?

The NPI number for Marissa Gramoll is 1215531025. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Q: What is Marissa Gramoll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Gramoll was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since November 23, 2020PECOS Enrolled

800 WILSON AVE RM 330, MENOMONIE, WI 54751(715) 256-7166 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 23, 2024, Dec 3, 2024, Nov 23, 2020 (3 updates tracked since 2020).

On this page

About Marissa Ann Gramoll Ms NPPES

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

MARISSA ANN GRAMOLL MS (NPI 1215531025) is an individual professional provider in Menomonie, Wisconsin, licensed in Wisconsin (4824-226) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eau Claire, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215531025

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARISSA ANN GRAMOLLCredential: MS

Location Address800 WILSON AVE RM 330Menomonie, WI 54751-2746

Mailing Address800 Wilson Ave Rm 330Menomonie, WI 54751-2746 · (715) 256-7166 · Fax (888) 427-8048

Phone(715) 256-7166

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 23, 2020

Last NPPES UpdateDecember 23, 20243 updates tracked since enumeration

NPPES CertifiedDecember 23, 2024

✔ NPI 1215531025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 4824-226

800 WILSON AVE RM 330, Menomonie, WI 54751

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Secondary Practice Location 1

Location 14330 Golf Ter Ste 209Eau Claire, WI 54701-4688 · Phone (715) 256-7166

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Ann Gramoll Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133604945

PECOS Enrollment IDI20260330003651

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

KIERSTEN LYNETTE BUCK LPC, SAC

Counselor (Professional)