SHANDY GRISHAM RN, FNP
NPI 1073566964
Nurse Practitioner - Family in Fort Worth, TX
About Shandy Grisham Rn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANDY GRISHAM RN, FNP (NPI 1073566964) is an individual family provider in Fort Worth, Texas, licensed in Texas (724029) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Shandy Grisham Rn, Fnp 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 Reassignments
2Medicare enrollment records show Shandy Grisham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 84 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- 30 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Shandy Grisham's NPI number?
The NPI number for Shandy Grisham is 1073566964. It was assigned to this individual provider in the NPPES registry on May 19, 2006.
Where is Shandy Grisham located?
Shandy Grisham practices at 800 W Magnolia Ave, Fort Worth, TX 76104. The listed phone number is (817) 759-7000.
What is Shandy Grisham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shandy Grisham enrolled in Medicare?
Yes. Shandy Grisham 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 organizations bill Medicare for Shandy Grisham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shandy Grisham reassigns Medicare benefits to 2 organizations: Oncology-Hematology Consultants PA (Fort Worth, TX) and Central Texas Medical Specialists PLLC (Austin, TX). Each 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 Shandy Grisham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shandy Grisham accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Shandy Grisham 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 Shandy Grisham was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Shandy Grisham, RN, FNP · NPI 1073566964
Family physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since May 19, 2006.
## Identity
- **NPI:** 1073566964 (Entity type: Individual)
- **Enumerated:** May 19, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 724029 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 W MAGNOLIA AVE, Fort Worth, TX 76104-4611
- **Phone:** (817) 759-7000 · **Fax:** (817) 759-7027
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Oncology-Hematology Consultants PA (NPI 1629021159, Fort Worth, TX); Central Texas Medical Specialists PLLC (NPI 1821069014, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** February 6, 2025
- **Other identifiers:** Medicaid 1788028-02 (TX); Other 8N9862; Medicaid 178802805 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1073566964) · Data from the CMS NPPES public registry.