DR. KATHLEEN BREWER GRISSETT (MD) – Psychiatry Physician, NPI 1821170085

DR. KATHLEEN BREWER GRISSETT (MD) is a healthcare provider. based in Orange park, Florida. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 25835 (SC). The NPI Number for DR. KATHLEEN BREWER GRISSETT (MD) is 1821170085

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHLEEN BREWER GRISSETT (MD)
NPI
1821170085
Phone
(904) 269-7200
Address
165 WELLS RD
Enumeration Date
19 October 2006
Last Update Date
16 October 2013

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
9042768500
Graduation Year
2003 (23 years ago)
PAC ID
7113081944
Group Practice PAC ID
1658435482
Professional Enrollment ID
I20090122000693
Address ID
FL320735148OR2001XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,953 PSYCHIATRY in FL

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Provider Addresses for DR. KATHLEEN BREWER GRISSETT (MD)

  • 165, Wells Road, Orange Park, Clay County, Florida, 32073, United States

    SUITE 408

    ORANGE PARK, FL 320733035

    Phone: (904) 269-7200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 348 Open Payments records for all available years, with a total value of $6,462.

Total Amount is formed as General ($6,462) + Research ($0) + Ownership ($0) = $6,462.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($1,314).

Total Amount

$6,462

General + Research + Ownership

Payments

348

Total payment records

General Amount

$6,462

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2009-01-22

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
I20090122000693IPsychiatryFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes30090$0
90833Psychotherapy with evaluation and management visit, 30 minutes24887$0
96127Assessment of emotional or behavioral problems4631$0
99213Established patient office or other outpatient visit, 20-29 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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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: 1658435482View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to DR. KATHLEEN BREWER GRISSETT (MD)?
The federal identifier for DR. KATHLEEN BREWER GRISSETT (MD) is NPI 1821170085.
Does this profile mean DR. KATHLEEN BREWER GRISSETT (MD) is currently active?
Yes — DR. KATHLEEN BREWER GRISSETT (MD) appears active in the national provider directory.
Does DR. KATHLEEN BREWER GRISSETT (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for DR. KATHLEEN BREWER GRISSETT (MD). Clinical services aligned with this taxonomy classification.
Where is DR. KATHLEEN BREWER GRISSETT (MD)'s primary listing?
We display Orange Park, Florida because that is what the record indicates for DR. KATHLEEN BREWER GRISSETT (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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