AMY ROSE GRIBAUSKAS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1568144806

AMY ROSE GRIBAUSKAS (PMHNP) is a healthcare provider. based in Walpole, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN2352828 (MA). The NPI Number for AMY ROSE GRIBAUSKAS (PMHNP) is 1568144806

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMY ROSE GRIBAUSKAS (PMHNP)
NPI
1568144806
Phone
(508) 660-1666
Address
420 MAIN ST STE 15
Enumeration Date
7 August 2023
Last Update Date
29 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
50866016661305
Graduation Year
2021 (5 years ago)
PAC ID
2860862612
Group Practice PAC ID
9032410667
Professional Enrollment ID
I20231204001795
Address ID
MA020813753WA420XXSTXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for AMY ROSE GRIBAUSKAS (PMHNP)

  • 420 MAIN ST STE 15

    WALPOLE, MA 020813753

    Phone: (508) 660-1666

    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 57 Open Payments records for all available years, with a total value of $1,567.

Total Amount is formed as General ($1,567) + Research ($0) + Ownership ($0) = $1,567.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($517).

Total Amount

$1,567

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2023-12-04

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
I20231204001795INurse PractitionerMATBD

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 02081)

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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: 9032410667View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Nurse PractitionerGA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Mental Health CounselorMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What identifier follows AMY ROSE GRIBAUSKAS (PMHNP) across health systems?
The NPI 1568144806 uniquely identifies AMY ROSE GRIBAUSKAS (PMHNP) in U.S. healthcare data.
Should I treat AMY ROSE GRIBAUSKAS (PMHNP) as an active provider?
Patients and plans typically see AMY ROSE GRIBAUSKAS (PMHNP) as active in the national extract.
How should patients interpret AMY ROSE GRIBAUSKAS (PMHNP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for AMY ROSE GRIBAUSKAS (PMHNP). Clinical services aligned with this taxonomy classification.
Can patients visit AMY ROSE GRIBAUSKAS (PMHNP) in Walpole, Massachusetts?
For routing, start with Walpole, Massachusetts for AMY ROSE GRIBAUSKAS (PMHNP), then verify phone and hours locally.
Can I export AMY ROSE GRIBAUSKAS (PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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