Grace Janice Beckman, PA-C
Individual provider Active NPI Physician Assistant · Superior, WI
NPI 1396506705 · NPPES record last updated Dec 31, 2025
Key facts
- NPI
- 1396506705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 8740 (WI)
- Practice address
- 3500 Tower Ave
Superior, WI 54880-4491 - Phone
- (715) 817-7100
- NPI assigned
- Jan 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 E 3Rd St
Duluth, MN 55805-1951
Hospital & facility affiliations
- St Marys Hospital Superior
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260108001038 | WI | Practitioner - Physician Assistant | 5395221469 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8740 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Hospital of Superior | Multi-Specialty | Current |
Accepting new patients |
| St. Mary'S Hospital of Superior | Multi-Specialty | Current |
Accepting new patients |
Locations
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | 8740 | WI | Yes |
Addresses
Primary practice location
3500 Tower Ave
Superior, WI 54880-4491
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other providers in Superior, WI
- Carina Lisa Barker
- Darrell Eugene Barnack
- Billie Alan Barsness
- Crystal Bartell
- Eugena Denise Basley
- Madeline Marjorie Belisle
- Bella Vista Health and Rehabilitation Center, LLC
- Sheri B Bergeron
- Bergquist Chiropractic Inc.
- Heather Ann Bergstedt
All providers in Superior, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.