TAMMY M GRISHAM (NP-C) – Family Nurse Practitioner, NPI 1619489473

TAMMY M GRISHAM (NP-C) is a healthcare provider. based in Arcadia, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 9203521 (FL). The NPI Number for TAMMY M GRISHAM (NP-C) is 1619489473

Main info

Female
Sole Proprietor
9 Years Of Experience
Name
TAMMY M GRISHAM (NP-C)
NPI
1619489473
Phone
(863) 494-1242
Address
725 N 12th Ave Bldg B
Enumeration Date
1 November 2017
Last Update Date
18 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722869440
Graduation Year
2017 (9 years ago)
PAC ID
1951661586
Group Practice PAC ID
7618238726
Professional Enrollment ID
I20180130002849
Address ID
FL349971502ST4801XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TAMMY M GRISHAM (NP-C)

  • 725 N 12th Ave Bldg B

    Arcadia, FL 342668752

    Phone: (863) 494-1242

    Fax: (863) 999-0108

    Type: Location

  • 714 NW LEONARDO CIR

    PORT ST LUCIE, FL 349864354

    Phone: (954) 448-3913

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2018-01-30

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
I20180130002849INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes756178$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes273154$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2811$0
99496Transitional care management services for problem of high complexity1919$0
99316Nursing facility discharge management, more than 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 34266)

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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: 7618238726View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find TAMMY M GRISHAM (NP-C)'s NPI?
You can confirm TAMMY M GRISHAM (NP-C) with NPI 1619489473; it appears in the national provider directory.
Is TAMMY M GRISHAM (NP-C) active in the national directory?
TAMMY M GRISHAM (NP-C)'s public NPI profile is in an active state.
Does TAMMY M GRISHAM (NP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for TAMMY M GRISHAM (NP-C). Clinical services aligned with this taxonomy classification.
Where does public data place TAMMY M GRISHAM (NP-C)?
The snapshot lists Arcadia, Florida for TAMMY M GRISHAM (NP-C); download NPPES for the complete set.
What if Arcadia, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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