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

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: October 18, 2026.

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

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 maintains a secondary practice location in Green Bay.

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
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

Secondary Practice Location 1

Location 1835 S Van Buren StGreen Bay, WI 54301-3526 · Phone (920) 496-4700

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

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 IDI20111017000725, I20190906000846
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Stephanie Grosvenor reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Family Medicine
3409 LUDINGTON ST
Escanaba, MI 49829
  • Reassigned Medicare billing, Michigan enrollment
  • 118 clinicians in this Medicare group
Obstetrics & Gynecology
1414 W FAIR AVE, SUITE 390
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 9 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.

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.

Nurse Practitioner (Family)
1650 S 41ST ST
MANITOWOC, WI 54220
Nurse Practitioner (Gerontology)
1650 S 41ST ST
MANITOWOC, WI 54220
Psychiatry & Neurology (Psychiatry)
1650 S 41ST ST
MANITOWOC, WI 54220
Nurse Practitioner (Family)
1650 S 41ST ST
MANITOWOC, WI 54220
Speech-Language Pathologist
1650 S 41ST ST
MANITOWOC, WI 54220
Physical Therapy Assistant
1650 S 41ST ST
MANITOWOC, WI 54220
Physical Therapist
1650 S 41ST ST
MANITOWOC, WI 54220
Nurse Practitioner
1650 S 41ST ST
MANITOWOC, WI 54220

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 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.

Where is Stephanie Grosvenor located?

Stephanie Grosvenor practices at 1650 S 41st St, Manitowoc, WI 54220. The listed phone number is (920) 476-6200.

What is Stephanie Grosvenor's specialty?

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

Is Stephanie Grosvenor enrolled in Medicare?

Yes. Stephanie Grosvenor 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 organizations bill Medicare for Stephanie Grosvenor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Grosvenor reassigns Medicare benefits to 6 organizations: Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI), St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI), Prevea Clinic, Inc. (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), St. Francis Hospital (Escanaba, MI) and 1 more organization, listed in the Medicare section above. 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 Stephanie Grosvenor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Grosvenor accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Dean Health Plan and 2 other insurers list Stephanie Grosvenor 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.

Is Stephanie Grosvenor affiliated with any hospitals?

According to CMS data, Stephanie Grosvenor is affiliated with Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Stephanie Grosvenor was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.