MS. MELISSA AMY GRIZZLE (FNP) – Internal Medicine Physician, NPI 1205124070

MS. MELISSA AMY GRIZZLE (FNP) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2010010923 (MO). The NPI Number for MS. MELISSA AMY GRIZZLE (FNP) is 1205124070

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. MELISSA AMY GRIZZLE (FNP)
NPI
1205124070
Phone
(800) 647-2098
Address
PO BOX 7412011
Enumeration Date
14 July 2011
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3147473000
Graduation Year
2009 (17 years ago)
PAC ID
4284892753
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20120301000262
Address ID
MO631101003SA1XXXXPLZX500

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MS. MELISSA AMY GRIZZLE (FNP)

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (800) 647-2098

    Fax: (314) 362-3192

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    DIV IM MEDICAL ONCOLOGY

    SAINT LOUIS, MO 631101003

    Phone: (800) 647-2098

    Fax: (314) 362-3192

    Type: Location

  • 107 BREVCO PLZ

    LAKE ST LOUIS, MO 633671399

    Phone: (636) 561-8100

    Fax: (636) 561-3396

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Dexcom, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$24
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: 2012-03-01

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
I20120301000262INurse PractitionerMOTBD

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 60674)

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Provider's Procedures

MS. MELISSA AMY GRIZZLE (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMO81002Urinalysis, manual test3021

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: 9830008770View full group profile

Reviews

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Frequently asked questions

What is MS. MELISSA AMY GRIZZLE (FNP)'s NPI number?
MS. MELISSA AMY GRIZZLE (FNP)'s NPI is 1205124070 — the number used across U.S. healthcare to identify this provider.
Would MS. MELISSA AMY GRIZZLE (FNP) appear as active to a payer?
You can treat MS. MELISSA AMY GRIZZLE (FNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MS. MELISSA AMY GRIZZLE (FNP)?
MS. MELISSA AMY GRIZZLE (FNP) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is MS. MELISSA AMY GRIZZLE (FNP) registered?
Use Chicago, Illinois as the headline location for MS. MELISSA AMY GRIZZLE (FNP) here.
When was this NPI issued?
Enumeration for MS. MELISSA AMY GRIZZLE (FNP) is noted as July 14, 2011 where the registry provides it.

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