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GILLIAN GRANCORVITZ APRN, PMHNP
NPI 1285353367
Nurse Practitioner - Psychiatric/Mental Health in Hudson, WI

Active since August 23, 2022PECOS Enrolled
642 BRAKKE DR STE 105, HUDSON, WI 54016(715) 402-4562 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2026, Apr 12, 2026, Aug 23, 2022 (3 updates tracked since 2022).

About Gillian Grancorvitz Aprn, Pmhnp NPPES

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

GILLIAN GRANCORVITZ APRN, PMHNP (NPI 1285353367) is an individual psychiatric/mental health provider in Hudson, Wisconsin, licensed in Wisconsin (18273-33) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285353367
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGILLIAN GRANCORVITZCredential: APRN, PMHNP
Location Address642 BRAKKE DR STE 105Hudson, WI 54016-7904
Mailing Address401 Durango DrRoberts, WI 54023-8536 · (715) 690-9167
Phone(715) 402-4562
Sole ProprietorNo
Enumeration DateAugust 23, 2022
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1285353367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 18273-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 2490493 (MN)
642 BRAKKE DR STE 105, Hudson, WI 54016
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gillian Grancorvitz Aprn, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

CALMING CURRENTS MENTAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
642 BRAKKE DR STE 105
HUDSON, WI 54016
St. Croix County (715) 402-4562
JORDAN JOHN MADDEN DNP, CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
642 BRAKKE DR STE 105
HUDSON, WI 54016
St. Croix County (715) 402-4562

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 Gillian Grancorvitz's NPI number?

The NPI number for Gillian Grancorvitz is 1285353367. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Gillian Grancorvitz located?

Gillian Grancorvitz practices at 642 Brakke Dr Ste 105, Hudson, WI 54016. The listed phone number is (715) 402-4562.

What is Gillian Grancorvitz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gillian Grancorvitz enrolled in Medicare?

Yes. Gillian Grancorvitz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gillian Grancorvitz was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.