MS. MELISSA DIANE GRISAFFE (AGACNP) – Adult Health Nurse Practitioner, NPI 1154724144

MS. MELISSA DIANE GRISAFFE (AGACNP) is a healthcare provider. based in Little rock, Arkansas. specializing in Adult Health Nurse Practitioner. They hold the professional credentials AGACNP. They hold a License No. 2014022681 (MO). The NPI Number for MS. MELISSA DIANE GRISAFFE (AGACNP) is 1154724144

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. MELISSA DIANE GRISAFFE (AGACNP)
NPI
1154724144
Phone
(501) 686-8000
Address
PO BOX 251420
Enumeration Date
3 October 2014
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4178205200
Graduation Year
2014 (12 years ago)
PAC ID
3870816200
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20141216001203
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for MS. MELISSA DIANE GRISAFFE (AGACNP)

  • PO BOX 251420

    LITTLE ROCK, AR 722251420

    Phone: (501) 686-8000

    Type: Mailing

  • PO BOX 505164

    SAINT LOUIS, MO 631505164

    Phone: (417) 829-4620

    Fax: (417) 829-4316

    Type: Mailing

  • 2115 S FREMONT AVE

    SPRINGFIELD, MO 658042239

    Phone: (417) 820-5200

    Fax: (417) 820-5220

    Type: Location

  • 4301 W Markham St

    Little Rock, AR 722057101

    Phone: (501) 686-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $298.

Total Amount is formed as General ($298) + Research ($0) + Ownership ($0) = $298.

Last reported payment date: 2023-11-15 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($148).

Total Amount

$298

General + Research + Ownership

Payments

6

Total payment records

General Amount

$298

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220113001451INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72225)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416865845View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MS. MELISSA DIANE GRISAFFE (AGACNP) in the U.S.?
In the U.S., MS. MELISSA DIANE GRISAFFE (AGACNP) is identified by NPI 1154724144.
Should I treat MS. MELISSA DIANE GRISAFFE (AGACNP) as an active provider?
Patients and plans typically see MS. MELISSA DIANE GRISAFFE (AGACNP) as active in the national extract.
What services align with MS. MELISSA DIANE GRISAFFE (AGACNP)'s listing?
MS. MELISSA DIANE GRISAFFE (AGACNP)'s public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. MELISSA DIANE GRISAFFE (AGACNP)?
MS. MELISSA DIANE GRISAFFE (AGACNP) shows a connection to Little Rock, Arkansas in registry-derived data.
Can I export MS. MELISSA DIANE GRISAFFE (AGACNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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