CLAIRE E GRISHAM FNP
NPI 1144082520
Nurse Practitioner - Family in East Prairie, MO

Active since January 30, 2024PECOS EnrolledAccepts Medicare Assignment
320 N LINCOLN ST, EAST PRAIRIE, MO 63845(573) 649-3026(573) 649-5600 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Claire E Grisham Fnp NPPES

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

CLAIRE E GRISHAM FNP (NPI 1144082520) is an individual family provider in East Prairie, Missouri, licensed in Missouri (2024002820) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144082520
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLAIRE E GRISHAMCredential: FNP
Location Address320 N LINCOLN STEast Prairie, MO 63845-1160
Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-5583 · Fax (573) 331-5079
Fax(573) 649-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 30, 2024
Last NPPES UpdateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
NPI 1144082520 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 MO · 2024002820
320 N LINCOLN ST, East Prairie, MO 63845

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

Claire E Grisham 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 ID6901249911
PECOS Enrollment IDI20240207000457
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
591 services82 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
143 services32 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
125 services44 patients
Fluorescence wound imaging for bacteria, first anatomic site 0598T
Fluorescence wound imaging for bacteria is a non-invasive procedure that helps identify bacteria in a wound. A special device emits a safe, light glow onto the wound. This light causes bacteria to fluoresce, or shine, making them visible. It aids in targeted treatment planning.
60 services23 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
41 services23 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
33 services18 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63845 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 6

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

Social Worker (Clinical)
320 N LINCOLN ST
EAST PRAIRIE, MO 63845
Family Medicine
320 N LINCOLN ST
EAST PRAIRIE, MO 63845
Family Medicine
320 N LINCOLN ST
EAST PRAIRIE, MO 63845
Family Medicine
320 N LINCOLN ST
EAST PRAIRIE, MO 63845
Nurse Practitioner (Family)
320 N LINCOLN ST
EAST PRAIRIE, MO 63845
Family Medicine
320 N LINCOLN ST
EAST PRAIRIE, MO 63845

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 Claire Grisham's NPI number?

The NPI number for Claire Grisham is 1144082520. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Claire Grisham located?

Claire Grisham practices at 320 N Lincoln St, East Prairie, MO 63845. The listed phone number is (573) 649-3026.

What is Claire Grisham's specialty?

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

Is Claire Grisham enrolled in Medicare?

Yes. Claire 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.

What insurance does Claire Grisham accept?

Health plans from UnitedHealthcare list Claire 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.

Is Claire Grisham affiliated with any hospitals?

According to CMS data, Claire Grisham is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Claire Grisham was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.