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GRANT MOMCHILOVICH
NPI 1487455358
Student in an Organized Health Care Education/Training Program in New Richmond, WI

Active since March 24, 2025PECOS Enrolled
1440 166TH AVE, NEW RICHMOND, WI 54017(651) 263-9801 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grant Momchilovich NPPES

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

GRANT MOMCHILOVICH (NPI 1487455358) is an individual student in an organized health care education/training program in New Richmond, Wisconsin and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487455358
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRANT MOMCHILOVICH
Location Address1440 166TH AVENew Richmond, WI 54017-6580
Mailing Address1440 166th AveNew Richmond, WI 54017-6580 · (651) 263-9801
Phone(651) 263-9801
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1487455358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1440 166TH AVE, New Richmond, WI 54017
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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)

Grant Momchilovich 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.

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 Grant Momchilovich's NPI number?

The NPI number for Grant Momchilovich is 1487455358. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Grant Momchilovich located?

Grant Momchilovich practices at 1440 166th Ave, New Richmond, WI 54017. The listed phone number is (651) 263-9801.

What is Grant Momchilovich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grant Momchilovich enrolled in Medicare?

Yes. Grant Momchilovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grant Momchilovich was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.