JESSICA NICOLE GRISHAM MSN, APRN, WHNP
NPI 1134841125
Nurse Practitioner - Women's Health in Carbondale, IL

Q: What is Jessica Grisham's NPI number?

The NPI number for Jessica Grisham is 1134841125. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Q: What is Jessica Grisham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Grisham was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 15, 2022PECOS EnrolledAccepts Medicare Assignment

2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 351-4878 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, Jul 21, 2023, Sep 15, 2022 (3 updates tracked since 2022).

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About Jessica Nicole Grisham Msn, Aprn, Whnp NPPES

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

JESSICA NICOLE GRISHAM MSN, APRN, WHNP (NPI 1134841125) is an individual women's health provider in Carbondale, Illinois, licensed in Illinois (209025601) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134841125

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameJESSICA NICOLE GRISHAMCredential: MSN, APRN, WHNP

Location Address2601 W MAIN STCarbondale, IL 62901-1031

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 549-5361

Fax(618) 351-4878

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 15, 2022

Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration

NPPES CertifiedOctober 1, 2025

✔ NPI 1134841125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in IL · 209025601

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209025601 (IL)

2601 W MAIN ST, Carbondale, IL 62901

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Secondary Practice Locations 2

Location 1117 E Clark StHarrisburg, IL 62946-2702 · Phone (618) 252-8625 · Fax (618) 351-4859

Location 2405 Rushing DrHerrin, IL 62948-3730 · Phone (618) 993-3300 · Fax (618) 993-0262

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

Jessica Nicole Grisham Msn, Aprn, Whnp 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 ID9638537129

PECOS Enrollment IDI20230808000168

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 3

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

MELISSA A MARTINEZ MATEO M.D.

Internal Medicine (Gastroenterology)