DR. JENIFER ANN GRISSOM (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1275818692
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JENIFER ANN GRISSOM (CNP)
302 NE 14TH ST
LEON, IA 501441206
Phone: (641) 446-2383
Fax: (641) 446-2382
Type: Mailing
13045 FALCON DR STE 100
BAXTER, MN 564254201
Phone: (218) 829-9307
Fax: (218) 829-7649
Type: Mailing
1001 Fourier Dr Ste 200
Madison, WI 537171958
Phone: (608) 740-2001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $182.
Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.
Last reported payment date: 2023-10-19 • Largest payer in this snapshot: ABBVIE INC. ($92).
Total Amount
$182
General + Research + Ownership
Payments
2
Total payment records
General Amount
$182
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $92 |
| Janssen Pharmaceuticals, Inc | $91 |
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: 2025-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230424002266 | I | Nurse Practitioner | MN | TBD |
| I20250225000376 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 50144)
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