Jennifer Grise, - Medicare Nurse Practitioner in New Haven, CT

  1. Home
  2. Nurse Practitioner
  3. CT
  4. New Haven
Jennifer Grise, is a medicare enrolled "Nurse Practitioner - Pediatrics" in New Haven, Connecticut. Her current practice location is 1 Park St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 688-4242.

Jennifer Grise is licensed to practice in Connecticut (license number 8337) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043863608.

Contact Information

Jennifer Grise,
1 Park St,
New Haven, CT 06504-8901
(203) 688-4242
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Grise
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1 Park St, New Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043863608
  • Provider Enumeration Date: 07/22/2019
  • Last Update Date: 07/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204263528
  • Enrollment ID: I20200227000153

Medical Identifiers

Medical identifiers for Jennifer Grise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043863608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 144665 (Connecticut)Secondary
363LP0200XNurse Practitioner - Pediatrics 8337 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Grise allows following entities to bill medicare on her behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Grise is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Grise,
71 Cottage St Apt 2,
New Haven, CT 06511-2403

Ph: (209) 761-7606		Jennifer Grise,
1 Park St,
New Haven, CT 06504-8901

Ph: (203) 688-4242

Reviews and Comments


Nurse Practitioner Nurses in New Haven, CT

Audrey P Senior, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20 York St, New Haven, CT 06510
Phone: 203-688-5860    Fax: 203-688-7533
Ashley Antonucci, DNP- FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Long Wharf Dr, New Haven, CT 06511
Phone: 203-688-8800    
Bailey Daum,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 40 Trumbull St, New Haven, CT 06510
Phone: 646-270-4857    
Mrs. Lisa Jane Warren, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20 York St, New Haven, CT 06510
Phone: 203-688-7952    
Mrs. Rocca L Perruccio, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 428 Columbus Ave, New Haven, CT 06519
Phone: 203-503-3000    Fax: 203-503-3224
Alexa Blood, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Howard Ave, New Haven, CT 06519
Phone: 203-785-2565    
Dr. Shelley Yerger Hawkins, DSN, APRN-BC, FAANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 Church St S, #271, New Haven, CT 06519
Phone: 205-999-9029    Fax: 203-785-6455

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.