LINDSEY ELISE GRISWOLD (PA-C) – Physician Assistant, NPI 1053996389

LINDSEY ELISE GRISWOLD (PA-C) is a healthcare provider. based in New brighton, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 107413 (IA). The NPI Number for LINDSEY ELISE GRISWOLD (PA-C) is 1053996389

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LINDSEY ELISE GRISWOLD (PA-C)
NPI
1053996389
Phone
Not provided
Address
1900 SILVER LAKE RD NW STE 110
Enumeration Date
17 March 2021
Last Update Date
21 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3194320531
Graduation Year
2020 (6 years ago)
PAC ID
5597157586
Group Practice PAC ID
9638550544
Professional Enrollment ID
I20220125002017
Address ID
IA523178020NO1290XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,649 PHYSICIAN ASSISTANT in IA

Provider Addresses for LINDSEY ELISE GRISWOLD (PA-C)

  • 1900 SILVER LAKE RD NW STE 110

    NEW BRIGHTON, MN 551121789

    Phone:

    Type: Mailing

  • 7545 ASHWORTH RD STE 210

    WEST DES MOINES, IA 502665954

    Phone: (515) 854-3618

    Type: Location

  • 2165 LARKSPUR LN

    REDDING, CA 960020600

    Phone:

    Type: Mailing

  • 1742 OREGON ST

    REDDING, CA 960011717

    Phone: (530) 646-7269

    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: 2022-01-25

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
I20220125002017IPhysician AssistantIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes14340$0
99214Established patient office or other outpatient visit, 30-39 minutes10237$0
View full utilization report →

Insurance plans in this area (ZIP 55112)

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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: 9638550544View full group profile
NameSpecialtyState
Mental Health CounselorIA
Mental Health CounselorIA
Clinical Social WorkerMN
Clinical Social WorkerIA
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health CounselorIA
Clinical Social WorkerIA
Clinical Social WorkerMN

Reviews

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Frequently asked questions

How is LINDSEY ELISE GRISWOLD (PA-C) identified in CMS data?
CMS-hosted NPPES data lists LINDSEY ELISE GRISWOLD (PA-C) with NPI 1053996389.
Does CMS list LINDSEY ELISE GRISWOLD (PA-C) as active?
Yes — LINDSEY ELISE GRISWOLD (PA-C) is active in the NPI listing used on this page.
What is LINDSEY ELISE GRISWOLD (PA-C) best known for clinically?
Directory data describes LINDSEY ELISE GRISWOLD (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does LINDSEY ELISE GRISWOLD (PA-C) list a practice location?
Patients near New Brighton, Minnesota may find LINDSEY ELISE GRISWOLD (PA-C) in results; validate coverage separately.
Is the information about LINDSEY ELISE GRISWOLD (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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