SHANDY GRISHAM (RN, FNP) – Family Nurse Practitioner, NPI 1073566964
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for SHANDY GRISHAM (RN, FNP)
800, West Magnolia Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761044611
Phone: (817) 759-7000
Fax: (817) 759-7027
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 146 Open Payments records for all available years, with a total value of $5,507.
Total Amount is formed as General ($5,507) + Research ($0) + Ownership ($0) = $5,507.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,340).
Total Amount
$5,507
General + Research + Ownership
Payments
146
Total payment records
General Amount
$5,507
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $1,340 |
| Janssen Biotech, Inc. | $435 |
| AstraZeneca Pharmaceuticals LP | $296 |
| GlaxoSmithKline, LLC. | $272 |
| E.R. Squibb & Sons, L.L.C. | $238 |
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: 2006-02-13
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 |
|---|---|---|---|---|
| I20060213000162 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 11 | 11 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology/Oncology, Internal Medicine | TX | |
| Gynecological Oncology | TX | |
| H E M A T O L O G Y | TX | |
| - | TX | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Internal Medicine, Hospice/Palliative Care | TX | |
| Gynecological Oncology | TX | |
| Physician Assistant | TX | |
| General Surgery | TX | |
| Gynecological Oncology | TX |
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