Custom Medical Equipment LLC
NPI 1306093463 · Customized Equipment (DME) · Grand Rapids, MN
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Medical Equipment LLC is a Customized Equipment (DME) organization in Grand Rapids, MN (NPI 1306093463).
Provider details
- NPI number
- 1306093463
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Josephine Czerny, Owner(218) 326-2212
- License
- 9615269 (MN)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-08-20
- Last updated
- 2022-08-19
- Certified
- 2022-08-19
Frequently asked questions
- What is Custom Medical Equipment LLC's NPI number?
- Custom Medical Equipment LLC's National Provider Identifier (NPI) is 1306093463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Medical Equipment LLC?
- Custom Medical Equipment LLC is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Custom Medical Equipment LLC located?
- Custom Medical Equipment LLC's practice location on file with NPPES is 1001 S Pokegama Ave Ste a, Grand Rapids, MN 55744-3919.
- What is Custom Medical Equipment LLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Medical Equipment LLC is (218) 326-2212.
- Does Custom Medical Equipment LLC accept Medicare?
- Custom Medical Equipment LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Custom Medical Equipment LLC?
- The authorized official listed on Custom Medical Equipment LLC's NPPES record is Josephine Czerny, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Medical Equipment LLC's NPI active?
- Yes — Custom Medical Equipment LLC's NPI (1306093463) is active in the NPPES registry as of the last update on 2022-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.