OLIVIA GRAYSON PMHNP-BC
NPI 1225746977
Nurse Practitioner - Psychiatric/Mental Health in Roseville, MN

Q: What is Olivia Grayson's NPI number?

The NPI number for Olivia Grayson is 1225746977. It was assigned to this individual provider in the NPPES registry on November 11, 2022.

Q: What is Olivia Grayson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Grayson was last updated on February 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 11, 2022PECOS Enrolled

2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113(763) 900-5115(763) 402-7782 Get Directions Write a Review

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

Record update history: May 30, 2023, Nov 21, 2022, Nov 11, 2022 (3 updates tracked since 2022).

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About Olivia Grayson Pmhnp-bc NPPES

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

OLIVIA GRAYSON PMHNP-BC (NPI 1225746977) is an individual psychiatric/mental health provider in Roseville, Minnesota, licensed in Minnesota (10146) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225746977

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameOLIVIA GRAYSONCredential: PMHNP-BC

Location Address2355 HIGHWAY 36 W STE 400Roseville, MN 55113-3905

Mailing Address2355 Highway 36 W Ste 400Roseville, MN 55113-3905 · (763) 900-5115 · Fax (763) 402-7782

Phone(763) 900-5115

Fax(763) 402-7782

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 11, 2022

Last NPPES UpdateFebruary 26, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1225746977 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

License✔ Licensed in MN · 10146

2355 HIGHWAY 36 W STE 400, Roseville, MN 55113

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Oscar Health Maintenance Organization of Florida, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Grayson Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709247828

PECOS Enrollment IDI20230804001088

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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

K & F TRANSPORTATION LLC

Non-emergency Medical Transport (VAN)