CUSTOM MEDICAL EQUIPMENT LLC
NPI 1306093463
Durable Medical Equipment & Medical Supplies - Customized Equipment in Grand Rapids, MN
About Custom Medical Equipment Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CUSTOM MEDICAL EQUIPMENT LLC (NPI 1306093463) is a healthcare organization registered as a customized equipment in Grand Rapids, Minnesota and active in the NPI registry since August 2008. The organization lists Josephine Lyn Czerny, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Custom Medical Equipment Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Medical Equipment Supplier Medicare DMEPOS 9
Medicare supplier enrollment and the product categories Custom Medical Equipment carries, from the Medicare DMEPOS supplier directory.
Custom Medical Equipment
DMEPOS supplier · Grand Rapids, MNOperated by Custom Medical Equipment LLCDoes not accept Medicare assignment
Custom Medical Equipment has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.
Medicare Product Categories
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 Custom Medical Equipment LLC's NPI number?
The NPI number for Custom Medical Equipment LLC is 1306093463. It was assigned to this organization in the NPPES registry on August 20, 2008.
Where is Custom Medical Equipment LLC located?
Custom Medical Equipment LLC is located at 1001 S Pokegama Ave Ste A, Grand Rapids, MN 55744. The listed phone number is (218) 326-2212.
What is Custom Medical Equipment LLC's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.
Is Custom Medical Equipment LLC enrolled in Medicare?
Yes. Custom Medical Equipment LLC is registered in the Medicare PECOS enrollment system.
When is Custom Medical Equipment LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Minnesota, Medical Supply Company) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Custom Medical Equipment LLC accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Custom Medical Equipment does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.
What insurance does Custom Medical Equipment LLC accept?
Health plans from HealthPartners and Sanford Health Plan list Custom Medical Equipment LLC 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 Custom Medical Equipment LLC was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Custom Medical Equipment Llc · NPI 1306093463
Customized Equipment organization in Grand Rapids, Minnesota. Organization record, active in the CMS NPPES registry since August 20, 2008.
## Identity
- **NPI:** 1306093463 (Entity type: Organization)
- **Enumerated:** August 20, 2008
- **Primary specialty:** Durable Medical Equipment & Medical Supplies - Customized Equipment · taxonomy 332BC3200X
- **Organization subpart:** No
- **Authorized official:** Josephine Czerny, OWNER
## Practice location
- **Address:** 1001 S POKEGAMA AVE STE A, Grand Rapids, MN 55744-3919
- **Phone:** (218) 326-2212
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (DME, Minnesota, Medical Supply Company) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2022
- **Other identifiers:** Medicaid 697697100 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1306093463) · Data from the CMS NPPES public registry.