KENISHA QUIANA GRANDISON NP
NPI 1285161075
Nurse Practitioner - Family in Chicago, IL

Q: What is Kenisha Grandison's NPI number?

The NPI number for Kenisha Grandison is 1285161075. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Kenisha Grandison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenisha Grandison was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 11, 2017PECOS Enrolled

5841 S MARYLAND AVE # MC2115, CHICAGO, IL 60637(773) 834-0475(773) 753-4525 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2020, May 11, 2017 (2 updates tracked since 2017).

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About Kenisha Quiana Grandison Np NPPES

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

KENISHA QUIANA GRANDISON NP (NPI 1285161075) is an individual family provider in Chicago, Illinois, licensed in Illinois (209015880) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285161075

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKENISHA QUIANA GRANDISONCredential: NP

Location Address5841 S MARYLAND AVE # MC2115Chicago, IL 60637-1447

Mailing Address5841 S Maryland Ave # Mc2115Chicago, IL 60637-1447 · (773) 834-0475 · Fax (773) 753-4525

Phone(773) 834-0475

Fax(773) 753-4525

Sole ProprietorNo

Enumeration DateMay 11, 2017

Last NPPES UpdateApril 1, 20202 updates tracked since enumeration

NPPES CertifiedApril 1, 2020

✔ NPI 1285161075 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 IL · 209015880

5841 S MARYLAND AVE # MC2115, Chicago, IL 60637

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenisha Quiana Grandison Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

DR. DANIEL OLSON M.D.

Internal Medicine (Hematology & Oncology)