SHANDY GRISHAM RN, FNP
NPI 1073566964
Nurse Practitioner - Family in Fort Worth, TX

Q: 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.

Q: What is Shandy Grisham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shandy Grisham was last updated on February 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

800 W MAGNOLIA AVE, FORT WORTH, TX 76104(817) 759-7000(817) 759-7027 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2025, Dec 28, 2020, Feb 25, 2019 and 2 more (5 updates tracked since 2016).

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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

NPI1073566964

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANDY GRISHAMCredential: RN, FNP

Location Address800 W MAGNOLIA AVEFort Worth, TX 76104-4611

Mailing Address800 W Magnolia AveFort Worth, TX 76104-4611 · (817) 759-7000 · Fax (817) 759-7027

Phone(817) 759-7000

Fax(817) 759-7027

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 19, 2006

Last NPPES UpdateFebruary 6, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1073566964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 724029

800 W MAGNOLIA AVE, Fort Worth, TX 76104

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Other Identifiers 3

Medicaid1788028-02TX

Other8N9862Bcbs

Medicaid178802805TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

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.

PECOS PAC ID3870581010

PECOS Enrollment IDI20060213000162

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

84%1,277 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

95%21 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

44%1,488 patients2/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

73%1,488 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

1%1,488 patients1/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

JEREMY AARON ROSS M.D.

Internal Medicine (Hematology & Oncology)