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MS. MELISSA DIANE GRISAFFE AGACNP
NPI 1154724144
Nurse Practitioner - Adult Health in Springfield, MO

Active since October 03, 2014PECOS Enrolled
2115 S FREMONT AVE, SPRINGFIELD, MO 65804(417) 820-5200(417) 820-5220 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2022, Jan 16, 2017 (2 updates tracked since 2017).

About Ms. Melissa Diane Grisaffe Agacnp NPPES

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

MS. MELISSA DIANE GRISAFFE AGACNP (NPI 1154724144) is an individual adult health provider in Springfield, Missouri, licensed in Arkansas (A004218) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1154724144
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. MELISSA DIANE GRISAFFECredential: AGACNP
Location Address2115 S FREMONT AVESpringfield, MO 65804-2239
Mailing AddressPo Box 251420Little Rock, AR 72225-1420 · (501) 686-8000
Phone(417) 820-5200
Fax(417) 820-5220
Sole ProprietorNo
Enumeration DateOctober 3, 2014
Last NPPES UpdateJanuary 6, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1154724144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in AR · A004218✔ Licensed in MO · 2014022681
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 2014022681 (MO), A004218 (AR)
2115 S FREMONT AVE, Springfield, MO 65804
Open in Google Maps ↗

Secondary Practice Location 1

Location 14301 W Markham StLittle Rock, AR 72205-7101 · Phone (501) 686-8000

Other Identifiers 1

Medicaid1154724144MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Melissa Diane Grisaffe Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Melissa Grisaffe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Arkansas For Medical Sciences
89 mi
Psychiatry
3425 N FUTRALL DR STE 103
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1720217599 (479) 713-8350
St. Vincent Medical Group
175 mi
Family Medicine
2 ST. VINCENT CIRCLE
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 288 clinicians in this Medicare group
NPI 1134176480 (501) 552-3571

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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 20

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

HEIDI K CRULL ANP-BC
Nurse Practitioner (Adult Health)
2115 S FREMONT AVE, STE 3300
SPRINGFIELD, MO 65804
Greene County (417) 820-5200
GHULAM JEELANI SIDDIQUI MD
Internal Medicine (Gastroenterology)
2115 S FREMONT AVE, SUITE 3300
SPRINGFIELD, MO 65804
Greene County (417) 820-5200
DR. KEITH W. ELLIS MD
Internal Medicine
2115 S FREMONT AVE, SUITE 2300
SPRINGFIELD, MO 65804
Greene County (417) 820-5600
CHAD D. HOLLAND PA-C
Physician Assistant
2115 S FREMONT AVE, SUITE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3960
NATALIE A. BIEKER FNP
Nurse Practitioner (Family)
2115 S FREMONT AVE, STE 4300
SPRINGFIELD, MO 65804
Greene County (417) 829-3911
DR. KIMBERLY D. STOLL MD
Pediatrics
2115 S FREMONT AVE, SUITE 2900
SPRINGFIELD, MO 65804
Greene County (417) 820-3535
CHRISTOPHER D. KNUDSEN D.O.
Internal Medicine (Gastroenterology)
2115 S FREMONT AVE, SUITE 3300
SPRINGFIELD, MO 65804
Greene County (417) 820-5200
KEITH R. ALLEN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2115 S FREMONT AVE, STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3960

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 Melissa Grisaffe's NPI number?

The NPI number for Melissa Grisaffe is 1154724144. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Where is Melissa Grisaffe located?

Melissa Grisaffe practices at 2115 S Fremont Ave, Springfield, MO 65804. The listed phone number is (417) 820-5200.

What is Melissa Grisaffe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Melissa Grisaffe enrolled in Medicare?

Yes. Melissa Grisaffe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melissa Grisaffe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Grisaffe reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Fayetteville, AR) and St. Vincent Medical Group (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Grisaffe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Grisaffe was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.