TINA M GRIFFITH
NPI 1063072585
Counselor - Professional in Green Bay, WI
About Tina M Griffith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA M GRIFFITH (NPI 1063072585) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (7209) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oshkosh, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tina M Griffith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tina Griffith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 194 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54304
GREEN BAY, WI 54304
GREEN BAY, WI 54304
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tina Griffith's NPI number?
The NPI number for Tina Griffith is 1063072585. It was assigned to this individual provider in the NPPES registry on June 17, 2019.
Where is Tina Griffith located?
Tina Griffith practices at 2640 W Point Rd, Green Bay, WI 54304. The listed phone number is (920) 490-3790.
What is Tina Griffith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Tina Griffith enrolled in Medicare?
Yes. Tina Griffith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tina Griffith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Griffith reassigns Medicare benefits to Brave Health Inc. (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Griffith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tina Griffith accept?
Health plans from CareSource (Common Ground Healthcare), Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Tina Griffith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tina Griffith was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tina M Griffith · NPI 1063072585
Professional provider in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since June 17, 2019.
## Identity
- **NPI:** 1063072585 (Entity type: Individual)
- **Enumerated:** June 17, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 7209 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2640 W POINT RD, Green Bay, WI 54304-1344
- **Phone:** (920) 490-3790
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brave Health Inc. (NPI 1821588674, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063072585) · Data from the CMS NPPES public registry.