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DR. LEE ANN GRISOLANO PH.D.
NPI 1356336713
Clinical Neuropsychologist in Hershey, PA

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8414(717) 531-0276 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2019, Jul 14, 2016 (2 updates tracked since 2016).

About Dr. Lee Ann Grisolano Ph.d. NPPES

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

DR. LEE ANN GRISOLANO PH.D. (NPI 1356336713) is an individual clinical neuropsychologist in Hershey, Pennsylvania, licensed in Pennsylvania (PS009003L) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1356336713
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. LEE ANN GRISOLANOCredential: PH.D.
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Phone(717) 531-8414
Fax(717) 531-0276
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 13, 2005
Last NPPES UpdateApril 10, 20192 updates tracked since enumeration
✔ NPI 1356336713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in PA · PS009003L
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
500 UNIVERSITY DR, Hershey, PA 17033
Open in Google Maps ↗

Other Identifiers 1

Medicaid0017941350004PA

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

Dr. Lee Ann Grisolano Ph.d. 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 ID7214969120
PECOS Enrollment IDI20050831000342
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 Lee Grisolano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Health Medical Services
1.9 mi
Orthopaedic Surgery
121 TOWNE SQUARE DR STE 301
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1679290688 (717) 988-8320

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

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.

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 Lee Grisolano's NPI number?

The NPI number for Lee Grisolano is 1356336713. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Lee Grisolano located?

Lee Grisolano practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8414.

What is Lee Grisolano's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Lee Grisolano enrolled in Medicare?

Yes. Lee Grisolano 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 organization bills Medicare for Lee Grisolano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Grisolano reassigns Medicare benefits to Pinnacle Health Medical Services (Hershey, PA). 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 Lee Grisolano'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 Lee Grisolano was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.