SIOVHAN REENE GRANT – Family Nurse Practitioner, NPI 1104499375

SIOVHAN REENE GRANT is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1048328 (TX). The NPI Number for SIOVHAN REENE GRANT is 1104499375

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SIOVHAN REENE GRANT
NPI
1104499375
Phone
Not provided
Address
PO BOX 844658
Enumeration Date
23 July 2021
Last Update Date
16 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2542027500
Graduation Year
2021 (5 years ago)
PAC ID
2860896966
Group Practice PAC ID
4183612278
Professional Enrollment ID
I20210811003888
Address ID
TX767052592WA851XXLOOP305
Telehealth
Yes

Contacts

Secure Messaging
sgrant579648@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SIOVHAN REENE GRANT

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

  • 7300 BOSQUE BLVD

    WACO, TX 767104023

    Phone: (254) 202-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 157 Open Payments records for all available years, with a total value of $3,137.

Total Amount is formed as General ($3,137) + Research ($0) + Ownership ($0) = $3,137.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($626).

Total Amount

$3,137

General + Research + Ownership

Payments

157

Total payment records

General Amount

$3,137

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

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: 2021-08-11

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
I20210811003888INurse PractitionerTXTBD

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 minutes165133$0
99214Established patient office or other outpatient visit, 30-39 minutes8168$0
36415Insertion of needle into vein for collection of blood sample5847$0
81003Automated urinalysis test4136$0
80053Blood test, comprehensive group of blood chemicals2926$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 4183612278View full group profile

Reviews

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Frequently asked questions

Where can patients find SIOVHAN REENE GRANT's NPI?
You can confirm SIOVHAN REENE GRANT with NPI 1104499375; it appears in the national provider directory.
Is SIOVHAN REENE GRANT's NPI currently valid?
The extract we use shows SIOVHAN REENE GRANT as active.
Can you summarize SIOVHAN REENE GRANT's specialty in plain language?
Clinically, the directory lists SIOVHAN REENE GRANT with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SIOVHAN REENE GRANT's primary listing?
We display Dallas, Texas because that is what the record indicates for SIOVHAN REENE GRANT.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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