JESSICA NICOLE GRISHAM (MSN, APRN, WHNP) – Women's Health Nurse Practitioner, NPI 1134841125
Women's Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JESSICA NICOLE GRISHAM (MSN, APRN, WHNP)
117 E Clark St
Harrisburg, IL 629462702
Phone: (618) 252-8625
Fax: (618) 351-4859
Type: Location
405 Rushing Dr
Herrin, IL 629483730
Phone: (618) 993-3300
Fax: (618) 993-0262
Type: Location
2035 CROSSROAD SCHOOL RD
ELDORADO, IL 629303144
Phone: (618) 308-0401
Type: Mailing
PO BOX 3988
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
2601 W MAIN ST
CARBONDALE, IL 629011031
Phone: (618) 549-5361
Fax: (618) 351-4878
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $421.
Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($229).
Total Amount
$421
General + Research + Ownership
Payments
19
Total payment records
General Amount
$421
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $229 |
| Astellas Pharma US Inc | $75 |
| Exeltis, USA Inc. | $74 |
| Sumitomo Pharma America, Inc. | $42 |
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: 2023-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230808000168 | I | Nurse Practitioner | IL | TBD |
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.
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 62946)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| Internal Medicine | IL |
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