Justin Grissom, AG-ACNP, FNP in Colorado Springs, CO

Justin Grissom, AG-ACNP, FNP is a medicare enrolled "Nurse Practitioner" in Colorado Springs, Colorado. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lutheran Hospital Association Of The San Luis Valley and his current practice location is 3210 Gothic Pl, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 210-5633.

Justin Grissom is licensed to practice in Colorado (license number APN.0996720-NP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609542273.

Contact Information

	Justin Grissom, AG-ACNP, FNP
	3210 Gothic Pl, Colorado Springs, CO 80917-4323
	(719) 210-5633
	Not Available

Map and Direction

Provider's Profile

Full Name	Justin Grissom
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	3210 Gothic Pl, Colorado Springs, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Justin Grissom graduated from nursing school in 2021

NPI Data:

NPI Number: 1609542273
Provider Enumeration Date: 08/23/2021
Last Update Date: 08/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1456741222
Enrollment ID: I20211209002299

Medical Identifiers

Medical identifiers for Justin Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609542273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN.0996720-NP (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Luis Valley Health	Alamosa, CO	Hospital
San Luis Valley Health Conejos County Hospital	La jara, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lutheran Hospital Association Of The San Luis Valley	4789589094	100

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. Justin Grissom allows following entities to bill medicare on his behalf.

Entity Name	Lutheran Hospital Association Of The San Luis Valley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318

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. Justin Grissom 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 Address	Practice Location Address
Justin Grissom, AG-ACNP, FNP 3210 Gothic Pl, Colorado Springs, CO 80917-4323 Ph: () -	Justin Grissom, AG-ACNP, FNP 3210 Gothic Pl, Colorado Springs, CO 80917-4323 Ph: (719) 210-5633

Reviews and Comments

Nurse Practitioner Nurses in Colorado Springs, CO

Barbara J Starkey, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Swope Ave, Colorado Springs, CO 80909 Phone: 719-634-4746 Fax: 719-634-5024
Melinda Mcclendon, RN, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 405, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 512-275-2833
Jennifer Turnbaugh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3425 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-265-4412 Fax: 719-888-1739
Erika Wittler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4284 N Academy Blvd, Colorado Springs, CO 80918 Phone: 719-623-3068
Patricia Dianne Didier, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 565 Space Center Dr, Colorado Springs, CO 80915 Phone: 719-638-5000
Sonia Singh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913 Phone: 719-526-7000
Carole Traylor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6071 E. Woodmen Rd, Suite 105, Colorado Springs, CO 80923 Phone: 719-597-8704 Fax: 719-597-6864

Justin Grissom, AG-ACNP, FNP - Medicare Nurse Practitioner in Colorado Springs, CO