GRACE ANN COUNTRYMAN OT
NPI 1740026277
Occupational Therapist in La Crosse, WI
About Grace Ann Countryman Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE ANN COUNTRYMAN OT (NPI 1740026277) is an individual occupational therapist in La Crosse, Wisconsin, licensed in Wisconsin (8082) and active in the NPI registry since July 2024.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Ann Countryman Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Grace Countryman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Countryman's NPI number?
The NPI number for Grace Countryman is 1740026277. It was assigned to this individual provider in the NPPES registry on July 3, 2024. The provider is also known as Grace Brinkoetter.
Where is Grace Countryman located?
Grace Countryman practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Grace Countryman's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Grace Countryman enrolled in Medicare?
Yes. Grace Countryman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Grace Countryman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Countryman reassigns Medicare benefits to Gundersen Clinic Ltd (La Crosse, WI). The 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 Countryman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grace Countryman accept?
Health plans from Quartz list Grace Countryman 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 Grace Countryman was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.