MYRISSA GROVE
NPI 1063245447
Physician Assistant - Medical in Colorado Springs, CO
About Myrissa Grove NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYRISSA GROVE (NPI 1063245447) is an individual medical provider in Colorado Springs, Colorado, licensed in Colorado (PA.0008496) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Myrissa Grove 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.
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 Myrissa Grove's NPI number?
The NPI number for Myrissa Grove is 1063245447. It was assigned to this individual provider in the NPPES registry on August 21, 2024.
Where is Myrissa Grove located?
Myrissa Grove practices at 2759 Scotchbroom Pt, Colorado Springs, CO 80910. The listed phone number is (715) 456-6400.
What is Myrissa Grove's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Myrissa Grove enrolled in Medicare?
Yes. Myrissa Grove 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.
When was this NPI record last updated?
The NPPES record for Myrissa Grove was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Myrissa Grove · NPI 1063245447
Medical physician in Colorado Springs, Colorado. Individual provider, active in the CMS NPPES registry since August 21, 2024.
## Identity
- **NPI:** 1063245447 (Entity type: Individual)
- **Enumerated:** August 21, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA.0008496 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2759 SCOTCHBROOM PT, Colorado Springs, CO 80910-4452
- **Phone:** (715) 456-6400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063245447) · Data from the CMS NPPES public registry.