Stacey Van Grinsven, MS, CFY-SLP
NPI 1104018514 · Speech-Language Pathologist · De Pere, WI
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Van Grinsven, MS, CFY-SLP is a Speech-Language Pathologist provider in De Pere, WI (NPI 1104018514).
Provider details
- NPI number
- 1104018514
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CFY-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2953-154 (WI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Stacey Van Grinsven's NPI number?
- Stacey Van Grinsven's National Provider Identifier (NPI) is 1104018514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Van Grinsven's specialty?
- Stacey Van Grinsven is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Stacey Van Grinsven located?
- Stacey Van Grinsven's practice location on file with NPPES is 1601 Lawrence Dr Ste 100, De Pere, WI 54115-3931.
- What is Stacey Van Grinsven's phone number?
- The practice phone number listed in the NPPES registry for Stacey Van Grinsven is (920) 496-4700.
- Does Stacey Van Grinsven accept Medicare?
- Stacey Van Grinsven is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Van Grinsven's NPI active?
- Yes — Stacey Van Grinsven's NPI (1104018514) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.