TARYN MICHELLE GRATTIC (PA) – Physician Assistant, NPI 1093073926

TARYN MICHELLE GRATTIC (PA) is a healthcare provider. based in Kellogg, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA-982 (ID). The NPI Number for TARYN MICHELLE GRATTIC (PA) is 1093073926

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TARYN MICHELLE GRATTIC (PA)
NPI
1093073926
Phone
(208) 783-1267
Address
740 MCKINLEY AVE
Enumeration Date
28 April 2012
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2086205250
Graduation Year
2011 (15 years ago)
PAC ID
9537315700
Group Practice PAC ID
2466353354
Professional Enrollment ID
I20120920000815
Address ID
ID838588715RA1676041XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for TARYN MICHELLE GRATTIC (PA)

  • 740 MCKINLEY AVE

    KELLOGG, ID 838372693

    Phone: (208) 783-1267

    Type: Mailing

  • 214 W SUNSET AVE

    COEUR D ALENE, ID 838158305

    Phone: (208) 758-7878

    Fax: (800) 649-4171

    Type: Mailing

  • PO BOX 1387

    HAYDEN, ID 838351387

    Phone: (208) 415-0299

    Fax: (208) 625-2070

    Type: Mailing

  • 925 E POLSTON AVE

    POST FALLS, ID 838549049

    Phone: (208) 618-0787

    Fax: (844) 807-3782

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $205.

Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Exact Sciences Corporation ($116).

Total Amount

$205

General + Research + Ownership

Payments

11

Total payment records

General Amount

$205

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2012-09-20

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
I20120920000815IPhysician AssistantIDTBD

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
81002Urinalysis, manual test1312$0
View full utilization report →

Insurance plans in this area (ZIP 83837)

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Provider's Procedures

TARYN MICHELLE GRATTIC (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTID83036Hemoglobin A1C level5446

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: 2466353354View full group profile
NameSpecialtyState
Nurse Practitioner, Certified Nurse Midwife (Cnm)WA
Mental Health CounselorID
Clinical Social WorkerID
Physician AssistantID
Physician AssistantID
Clinical Social WorkerID
Nurse PractitionerID
Clinical Social WorkerID
Family PracticeID
Nurse PractitionerID

Reviews

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Frequently asked questions

What federal number belongs to TARYN MICHELLE GRATTIC (PA)?
The federal identifier for TARYN MICHELLE GRATTIC (PA) is NPI 1093073926.
Does this profile mean TARYN MICHELLE GRATTIC (PA) is currently active?
Yes — TARYN MICHELLE GRATTIC (PA) appears active in the national provider directory.
What field does TARYN MICHELLE GRATTIC (PA) work in?
You can think of TARYN MICHELLE GRATTIC (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place TARYN MICHELLE GRATTIC (PA)?
The snapshot lists Kellogg, Idaho for TARYN MICHELLE GRATTIC (PA); download NPPES for the complete set.
What if Kellogg, Idaho seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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