GRANT LARIE D.C.
NPI 1770939159
Chiropractor in De Pere, WI
About Grant Larie D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANT LARIE D.C. (NPI 1770939159) is an individual chiropractor in De Pere, Wisconsin, licensed in Wisconsin (5174-12) and active in the NPI registry since May 2016. He is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Grant Larie D.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.
Medicare Billing Reassignment
Medicare enrollment records show Grant Larie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, WI 54942
- Reassigned Medicare billing, Wisconsin enrollment
- 4 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Larie's NPI number?
The NPI number for Grant Larie is 1770939159. It was assigned to this individual provider in the NPPES registry on May 4, 2016.
Where is Grant Larie located?
Grant Larie practices at 502 George St, De Pere, WI 54115. The listed phone number is (920) 337-0103.
What is Grant Larie's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Grant Larie enrolled in Medicare?
Yes. Grant Larie 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.
Which organization bills Medicare for Grant Larie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grant Larie reassigns Medicare benefits to Chiropractic Health & Rehabilitation Center (Greenville, 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 Grant Larie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grant Larie accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and Network Health list Grant Larie 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 Grant Larie was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Grant Larie, D.C. · NPI 1770939159
Chiropractor provider in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since May 4, 2016.
## Identity
- **NPI:** 1770939159 (Entity type: Individual)
- **Enumerated:** May 4, 2016
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5174-12 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 502 GEORGE ST, De Pere, WI 54115-2714
- **Phone:** (920) 337-0103 · **Fax:** (920) 338-9066
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Chiropractic Health & Rehabilitation Center (NPI 1467667972, Greenville, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 4, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1770939159) · Data from the CMS NPPES public registry.