MS. BRENDA MAE GRISSOM OTR
NPI 1780985648
Occupational Therapist in Sheboygan, WI
About Ms. Brenda Mae Grissom Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BRENDA MAE GRISSOM OTR (NPI 1780985648) is an individual occupational therapist in Sheboygan, Wisconsin, licensed in Wisconsin (4870-026) and active in the NPI registry since November 2010. She is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Brenda Mae Grissom Otr 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 Brenda Grissom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 96 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 5
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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
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 Brenda Grissom's NPI number?
The NPI number for Brenda Grissom is 1780985648. It was assigned to this individual provider in the NPPES registry on November 9, 2010.
Where is Brenda Grissom located?
Brenda Grissom practices at 3014 Erie Ave, Sheboygan, WI 53081. The listed phone number is (920) 459-3028.
What is Brenda Grissom's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Brenda Grissom enrolled in Medicare?
Yes. Brenda Grissom 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 Brenda Grissom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Grissom reassigns Medicare benefits to Paxxon Healthcare Services LLC (Menomonee Falls, 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 Brenda Grissom'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 Brenda Grissom was last updated on October 31, 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.