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

Q: 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.

Q: 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.

Q: 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 6 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.

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: August 02, 2026.

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

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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)