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GRACE K STABENAU RD, CD
NPI 1568238673
Dietitian, Registered in Green Bay, WI

Active since November 29, 2023
3263 EATON RD, GREEN BAY, WI 54311(920) 433-6700(920) 433-6719 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace K Stabenau Rd, Cd NPPES

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

GRACE K STABENAU RD, CD (NPI 1568238673) is an individual dietitian, registered in Green Bay, Wisconsin, licensed in Wisconsin (5388-29) and active in the NPI registry since November 2023. She maintains a secondary practice location in Denmark.

NPPES Registry Identity

NPI1568238673
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameGRACE K STABENAUCredential: RD, CD
Location Address3263 EATON RDGreen Bay, WI 54311-6830
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 433-6700
Fax(920) 433-6719
Sole ProprietorNo
Enumeration DateNovember 29, 2023
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1568238673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WI · 5388-29
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3263 EATON RD, Green Bay, WI 54311
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Other Names 1

Former Name (1)Grace Neese

Secondary Practice Location 1

Location 1595 County Road RDenmark, WI 54208-9120 · Phone (920) 863-2005

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace K Stabenau Rd, Cd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Grace Stabenau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
Same address
Family Medicine
3263 EATON ROAD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1215189121 (920) 433-6700
Oconto Hospital & Medical Center Inc
20 mi
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1053279091 (920) 388-4640

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. RACHAEL E. VANDEN LANGENBERG D.O.
Family Medicine
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
ALEXANDER LEE PETERSON D-PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
MS. BARBARA A PESOLA APNP
Nurse Practitioner (Family)
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
NEESHA DAVIES APNP
Nurse Practitioner (Family)
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6000
DR. DAVID FRANKLIN EDWARDS M.D
Family Medicine
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6000
SARAH SUE FORD PT, DPT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
JOSEPH KUCKSDORF PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700
ANTHONY JACOB SOBRILSKY PT
Physical Therapist
3263 EATON RD
GREEN BAY, WI 54311
Brown County (920) 433-6700

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 Grace Stabenau's NPI number?

The NPI number for Grace Stabenau is 1568238673. It was assigned to this individual provider in the NPPES registry on November 29, 2023. The provider is also known as Grace Neese.

Where is Grace Stabenau located?

Grace Stabenau practices at 3263 Eaton Rd, Green Bay, WI 54311. The listed phone number is (920) 433-6700.

What is Grace Stabenau's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Grace Stabenau enrolled in Medicare?

Yes. Grace Stabenau is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Grace Stabenau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Stabenau reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Green Bay, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Stabenau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Stabenau was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.