DR. STEPHANIE WISE GROSVENOR D.O.
NPI 1912193640
Obstetrics & Gynecology in Manitowoc, WI

Q: What is Stephanie Grosvenor's NPI number?

The NPI number for Stephanie Grosvenor is 1912193640. It was assigned to this individual provider in the NPPES registry on September 17, 2007.

Q: What is Stephanie Grosvenor's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since September 17, 2007PECOS EnrolledAccepts Medicare Assignment

1650 S 41ST ST, MANITOWOC, WI 54220(920) 476-6200 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2026, Feb 1, 2023, Sep 20, 2019 (3 updates tracked since 2019).

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About Dr. Stephanie Wise Grosvenor D.o. NPPES

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

DR. STEPHANIE WISE GROSVENOR D.O. (NPI 1912193640) is an individual obstetrics & gynecology provider in Manitowoc, Wisconsin, licensed in Wisconsin (71584-21) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of Michigan State University College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1912193640

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. STEPHANIE WISE GROSVENORCredential: D.O.

Location Address1650 S 41ST STManitowoc, WI 54220-7316

Mailing Address1650 S 41st StManitowoc, WI 54220-7316 · (920) 476-6200

Phone(920) 476-6200

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2007

Enumeration DateSeptember 17, 2007

Last NPPES UpdateJune 3, 20263 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1912193640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in WI · 71584-21✔ Licensed in IN · 02006694A✔ Licensed in MI · 1132870

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1650 S 41ST ST, Manitowoc, WI 54220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Wise Grosvenor D.o. 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.

PECOS PAC ID7517139587

PECOS Enrollment IDI20190906000846

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520107

Location2300 Western AveManitowoc, WI 54221 · Manitowoc County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BARBARA J BACKUS N.P.

Nurse Practitioner (Family)