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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Olivia Grayson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lux Psychiatry PLLC
Same address
Psychiatric/Mental Health
2355 HIGHWAY 36 W STE 400
Roseville, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1720873896 (612) 405-6555

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 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.

SOARINGHIGH ABA MN LLC
Behavior Analyst
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Ramsey County (845) 300-2769
PEREZ NEUROPSYCHOLOGY
Psychologist (Clinical)
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Ramsey County (612) 460-1597
RYAN N PLASCH MS, LPCC
Counselor (Professional)
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Ramsey County (612) 207-9953
ELITE HEALTH SERVICES LLC
Clinic/Center
2355 HIGHWAY 36 W STE 400
SAINT PAUL,, MN 55113
Ramsey County (612) 363-2105
DISCOVERY MENTAL HEALTH, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Ramsey County (612) 207-9953
BETH-ANNE JOELLE WASEMILLER APRN
Nurse Practitioner (Family)
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Ramsey County (763) 412-1993
BEHAVIORAL HEALTH INNOVATIONS LLC
Marriage & Family Therapist
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Ramsey County (651) 333-0768
BILQISA BOOKER
Behavior Technician
2355 HIGHWAY 36 W STE 400
ROSEVILLE, MN 55113
Ramsey County (612) 644-4942

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 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.

Where is Olivia Grayson located?

Olivia Grayson practices at 2355 Highway 36 W Ste 400, Roseville, MN 55113. The listed phone number is (763) 900-5115.

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.

Is Olivia Grayson enrolled in Medicare?

Yes. Olivia Grayson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olivia Grayson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Grayson reassigns Medicare benefits to Lux Psychiatry PLLC (Roseville, MN). The 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 Olivia Grayson'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 Olivia Grayson was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.