BLISS GRADY PA-C
NPI 1295514503
Physician Assistant in Portage, WI

Active since September 26, 2023PECOS EnrolledAccepts Medicare Assignment
2817 NEW PINERY RD, PORTAGE, WI 53901(608) 742-4131 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bliss Grady Pa-c NPPES

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

BLISS GRADY PA-C (NPI 1295514503) is an individual physician assistant in Portage, Wisconsin, licensed in (1220986) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Divine Savior Healthcare, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295514503
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBLISS GRADYCredential: PA-C
Location Address2817 NEW PINERY RDPortage, WI 53901-9240
Mailing Address2817 New Pinery RdPortage, WI 53901-9240 · (952) 843-8443
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 26, 2023
Last NPPES UpdateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
NPI 1295514503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed · 1220986
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2817 NEW PINERY RD, Portage, WI 53901

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bliss Grady Pa-c 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.

PECOS PAC ID8325569460
PECOS Enrollment IDI20250305003683
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Divine Savior Healthcare

Acute Care Hospitals · Portage, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520041
Location2817 New Pinery RoadPortage, WI 53901 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53901 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 20

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

Speech-Language Pathologist
2817 NEW PINERY RD
PORTAGE, WI 53901
Physical Therapist
2817 NEW PINERY RD
PORTAGE, WI 53901
Audiologist-Hearing Aid Fitter
2817 NEW PINERY RD, SUITE 103
PORTAGE, WI 53901
Pharmacist
2817 NEW PINERY RD
PORTAGE, WI 53901
Nurse Anesthetist, Certified Registered
2817 NEW PINERY RD
PORTAGE, WI 53901
Emergency Medicine
2817 NEW PINERY RD
PORTAGE, WI 53901
Physician Assistant
2817 NEW PINERY RD
PORTAGE, WI 53901
Emergency Medicine
2817 NEW PINERY RD
PORTAGE, WI 53901

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 Bliss Grady's NPI number?

The NPI number for Bliss Grady is 1295514503. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Bliss Grady located?

Bliss Grady practices at 2817 New Pinery Rd, Portage, WI 53901. The listed phone number is (608) 742-4131.

What is Bliss Grady's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bliss Grady enrolled in Medicare?

Yes. Bliss Grady 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.

What insurance does Bliss Grady accept?

Health plans from Anthem Blue Cross and Blue Shield list Bliss Grady 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.

Is Bliss Grady affiliated with any hospitals?

According to CMS data, Bliss Grady is affiliated with Divine Savior Healthcare.

When was this NPI record last updated?

The NPPES record for Bliss Grady was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.