ANNE GENEVIEVE GRISOLI (MD) – Emergency Medicine Physician, NPI 1164009924

ANNE GENEVIEVE GRISOLI (MD) is a healthcare provider. based in Edgewood, Kentucky. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 59305 (KY). The NPI Number for ANNE GENEVIEVE GRISOLI (MD) is 1164009924

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ANNE GENEVIEVE GRISOLI (MD)
NPI
1164009924
Phone
(859) 572-3617
Address
1 MEDICAL VILLAGE DR
Enumeration Date
26 March 2021
Last Update Date
18 October 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8596554353
Graduation Year
2021 (5 years ago)
PAC ID
6002218583
Group Practice PAC ID
8224350939
Professional Enrollment ID
I20241018001654
Address ID
KY410110801CO1500XWAYX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

Provider Addresses for ANNE GENEVIEVE GRISOLI (MD)

  • 1 MEDICAL VILLAGE DR

    EDGEWOOD, KY 410173403

    Phone: (859) 572-3617

    Type: Mailing

  • 231 ALBERT SABIN WAY MSB #1654

    CINCINNATI, OH 452670001

    Phone: (513) 558-8996

    Type: Mailing

  • 234 GOODMAN ST

    CINCINNATI, OH 452192364

    Phone: (513) 558-8996

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-18

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
I20241018001654IEmergency MedicineKYTBD

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 41017)

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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: 8224350939View full group profile
NameSpecialtyState
Emergency MedicineKY
Emergency MedicineOH
Emergency MedicineKY
Nurse PractitionerOH
Emergency MedicineIN
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineIN
Emergency MedicineKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the standard ID for ANNE GENEVIEVE GRISOLI (MD) in the U.S.?
In the U.S., ANNE GENEVIEVE GRISOLI (MD) is identified by NPI 1164009924.
Is ANNE GENEVIEVE GRISOLI (MD)'s NPI status active today?
Active status means ANNE GENEVIEVE GRISOLI (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits ANNE GENEVIEVE GRISOLI (MD)?
NPPES ties ANNE GENEVIEVE GRISOLI (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ANNE GENEVIEVE GRISOLI (MD)?
The directory associates ANNE GENEVIEVE GRISOLI (MD) with Edgewood, Kentucky. Check all listed addresses for suites or satellite offices.
Why is information missing for ANNE GENEVIEVE GRISOLI (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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