MRS. MILISSA RENEE GRANDCHAMP NP
NPI 1083750731
Nurse Practitioner - Family in Polson, MT

Q: What is Milissa Grandchamp's NPI number?

The NPI number for Milissa Grandchamp is 1083750731. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Milissa Grandchamp's specialty?

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

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment

5 4TH AVE E, POLSON, MT 59860(406) 745-3525(406) 226-2647 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Nov 9, 2023 (2 updates tracked since 2023).

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About Mrs. Milissa Renee Grandchamp Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MILISSA RENEE GRANDCHAMP NP (NPI 1083750731) is an individual family provider in Polson, Montana, licensed in Montana (NUR-APRN-LIC-100330) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083750731

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MILISSA RENEE GRANDCHAMPCredential: NP

Location Address5 4TH AVE EPolson, MT 59860-2117

Mailing AddressPo Box 880Saint Ignatius, MT 59865-0880 · (406) 745-3525 · Fax (406) 226-2647

Phone(406) 745-3525

Fax(406) 226-2647

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJanuary 29, 2007

Last NPPES UpdateApril 8, 20252 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1083750731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in MT · NUR-APRN-LIC-100330

Also ListedRegistered NurseTaxonomy 163W00000X · License 23008 (MT)

5 4TH AVE E, Polson, MT 59860

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans.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

Mrs. Milissa Renee Grandchamp Np 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 ID446481485

PECOS Enrollment IDI20251020002343

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

Providence St Joseph Medical Center

Critical Access Hospitals · Polson, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271343

Location6 13th Ave EPolson, MT 59860 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59860 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$53.02 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$789.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JAIME LAWRENCE

Licensed Practical Nurse

5 4TH AVE E
POLSON, MT 59860

Lake County (406) 745-3525

DACIA LEE ANTISTE-FISHER LCSW

Social Worker (Clinical)

5 4TH AVE E
POLSON, MT 59860

Lake County (406) 745-3525

DR. AIMEE JEAN GUSTAFSON D.D.S.

Dentist

5 4TH AVE E
POLSON, MT 59860

Lake County (406) 745-3525

DR. STEPHANIE TAYLOR MCDONALD PHARMD

Pharmacist

5 4TH AVE E
POLSON, MT 59860

Lake County (406) 883-5482

DR. DAVID J. SIEVERT D.D.S.

Dentist

5 4TH AVE E
POLSON, MT 59860

Lake County (406) 883-5541

DR. SANDRA FISHER PHARM. D.

Pharmacist

5 4TH AVE E
POLSON, MT 59860

Lake County (406) 883-5482

BOBBI JO BLACKWEASEL R.N

Registered Nurse

5 4TH AVE E
POLSON, MT 59860

Lake County (406) 745-3525

AALIYAH CUNNINGHAM RN

Registered Nurse

5 4TH AVE E
POLSON, MT 59860

Lake County (406) 745-3525

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 Milissa Grandchamp's NPI number?

The NPI number for Milissa Grandchamp is 1083750731. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Milissa Grandchamp located?

Milissa Grandchamp practices at 5 4th Ave E, Polson, MT 59860. The listed phone number is (406) 745-3525.

What is Milissa Grandchamp's specialty?

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

Is Milissa Grandchamp enrolled in Medicare?

Yes. Milissa Grandchamp 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.

What insurance does Milissa Grandchamp accept?

Health plans from Blue Cross and Blue Shield of Montana and PacificSource Health Plans list Milissa Grandchamp 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.

Is Milissa Grandchamp affiliated with any hospitals?

According to CMS data, Milissa Grandchamp is affiliated with St. Patrick Hospital and Providence St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Milissa Grandchamp was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.