DR. LYNTRESSA DANIELLE GRANT PMHNP-BC
NPI 1083955793
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since March 05, 2013PECOS EnrolledAccepts Medicare Assignment
111 SW 5TH AVE, PORTLAND, OR 97204(866) 277-9071 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 30, 2023, Mar 24, 2023, Mar 7, 2023 and 3 more (6 updates tracked since 2015).

About Dr. Lyntressa Danielle Grant Pmhnp-bc NPPES

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

DR. LYNTRESSA DANIELLE GRANT PMHNP-BC (NPI 1083955793) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Florida (ARNP9236028) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083955793
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. LYNTRESSA DANIELLE GRANTCredential: PMHNP-BC
Location Address111 SW 5TH AVEPortland, OR 97204-3604
Mailing Address11100 Sw 93rd Court Rd, Suite 10-box 118Ocala, FL 34481 · (833) 437-5433 · Fax (833) 999-0975
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 5, 2013
Last NPPES UpdateMarch 26, 20246 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
NPI 1083955793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in FL · ARNP9236028 Licensed in OR · 201509160NP-PP Licensed in AZ · AP5646 Licensed in SC · APN24094
111 SW 5TH AVE, Portland, OR 97204

Other Names 1

Professional Name (2)Dr. Lyntressa Danielle Grant Dnp, Pmhnp-bc

Other Identifiers 3

MedicaidDMAP500698768OR
Medicaid009044300FL
Medicaid030323AZ

Accepted 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

Dr. Lyntressa Danielle Grant Pmhnp-bc 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 ID3375784911
PECOS Enrollment IDI20130724000965
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



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.62 for a new patient copayment and $25.87 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97204 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.51
  • Minimum New Patient Price $58.99
  • Maximum New Patient Price $176.88
  • Average New Patient Copayment $22.62
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.51
  • Minimum Established Patient Price $19.32
  • Maximum Established Patient Price $144.79
  • Average Established Patient Copayment $25.87
  • Minimum Established Patient Copayment $4.83
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
111 SW 5TH AVE, SUITE 1100
PORTLAND, OR 97204
Counselor (Mental Health)
111 SW 5TH AVE, SUITE 3150
PORTLAND, OR 97204
Physiological Laboratory
111 SW 5TH AVE, STE 3150 (UNIT 3142)
PORTLAND, OR 97204
Preventive Medicine (Addiction Medicine)
111 SW 5TH AVE
PORTLAND, OR 97204
Preventive Medicine (Public Health & General Preventive Medicine)
111 SW 5TH AVE
PORTLAND, OR 97204
Nurse Practitioner (Psychiatric/Mental Health)
111 SW 5TH AVE
PORTLAND, OR 97204
Nurse Practitioner (Psychiatric/Mental Health)
111 SW 5TH AVE
PORTLAND, OR 97204
Community/Behavioral Health
111 SW 5TH AVE
PORTLAND, OR 97204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083955793, enumerated as an "individual" on March 05, 2013.

The provider is located at 111 SW 5TH AVE PORTLAND, OR 97204 and the phone number is (866) 277-9071.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Florida Blue. Please consult your insurance carrier or call the provider to verify.