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TAVISSA GRANGER PMHNP-BC
NPI 1326870254
Nurse Practitioner - Psychiatric/Mental Health in Cincinnati, OH

Active since August 19, 2024PECOS EnrolledAccepts Medicare Assignment
4850 SMITH RD STE 250, CINCINNATI, OH 45212(513) 699-2053 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2026, Aug 19, 2024 (2 updates tracked since 2024).

About Tavissa Granger Pmhnp-bc NPPES

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

TAVISSA GRANGER PMHNP-BC (NPI 1326870254) is an individual psychiatric/mental health provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.0036206) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1326870254
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTAVISSA GRANGERCredential: PMHNP-BC
Location Address4850 SMITH RD STE 250Cincinnati, OH 45212-2733
Mailing Address4850 Smith Rd Ste 250Cincinnati, OH 45212-2733 · Fax (513) 752-0013
Phone(513) 699-2053
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 19, 2024
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1326870254 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 OH · APRN.CNP.0036206
4850 SMITH RD STE 250, Cincinnati, OH 45212
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tavissa Granger Pmhnp-bc 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 ID3678005709
PECOS Enrollment IDI20241015000850
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

4

Medicare enrollment records show Tavissa Granger reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Housecalls LLC
Same address
Family
4850 SMITH RD STE 250
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
NPI 1962745083 (513) 699-9090
Supportive Healthcare Psych LLC
2.5 mi
Psychiatric/Mental Health
4001 ROSSLYN DR
Cincinnati, OH 45209
  • Reassigned Medicare billing, Ohio enrollment
  • 12 clinicians in this Medicare group
NPI 1275424228 (513) 314-7617
Supportive Healthcare Skilled LLC
2.5 mi
Family
4001 ROSSLYN DR
Cincinnati, OH 45209
  • Reassigned Medicare billing, Ohio enrollment
  • 65 clinicians in this Medicare group
NPI 1316838352 (513) 314-7617
Very Unique Wellness PLLC
15 mi
Mental Health
75 CAVALIER BLVD STE 218
Florence, KY 41042
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group
NPI 1750096814 (859) 594-4100

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

Areas of Expertise CMS Part B claims 2

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
24 services20 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
21 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45212 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 9

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

JENNIFER VADEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 699-9090
MR. BENEDICT X JANOWSKI DNP, APNP, FNP-BC
Nurse Practitioner (Family)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (106) 051-3231
CARLOS JAVIER BURKE GARCIA
Internal Medicine
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 231-1060
CRYSTAL M. HODGE
Nurse Practitioner (Adult Health)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 699-9090
STACEY WILLGING NP
Nurse Practitioner (Gerontology)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 653-3024
GWENDOLYN L DETILLION FNP-C
Nurse Practitioner (Family)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (704) 776-5577
GARY MATTHEW STEURER
Psychiatry & Neurology (Geriatric Psychiatry)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 699-9090
HOLLY HUDSON
Nurse Practitioner (Family)
4850 SMITH RD STE 250
CINCINNATI, OH 45212
Hamilton County (513) 236-5142

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 Tavissa Granger's NPI number?

The NPI number for Tavissa Granger is 1326870254. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Tavissa Granger located?

Tavissa Granger practices at 4850 Smith Rd Ste 250, Cincinnati, OH 45212. The listed phone number is (513) 699-2053.

What is Tavissa Granger's specialty?

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

Is Tavissa Granger enrolled in Medicare?

Yes. Tavissa Granger 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.

Which organizations bill Medicare for Tavissa Granger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tavissa Granger reassigns Medicare benefits to 4 organizations: Medical Housecalls LLC (Cincinnati, OH), Supportive Healthcare Psych LLC (Cincinnati, OH), Supportive Healthcare Skilled LLC (Cincinnati, OH) and Very Unique Wellness PLLC (Florence, KY). 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 Tavissa Granger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tavissa Granger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Tavissa Granger 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.

When was this NPI record last updated?

The NPPES record for Tavissa Granger was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.