ALISHA GRENADE PMHNP-BC
NPI 1356615447
Nurse Practitioner - Psychiatric/Mental Health in Queens Village, NY

Active since March 07, 2012PECOS EnrolledAccepts Medicare Assignment
21240 112TH RD, QUEENS VILLAGE, NY 11429(917) 705-1426 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2025, Apr 29, 2024, Apr 25, 2019 (3 updates tracked since 2019).

About Alisha Grenade Pmhnp-bc NPPES

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

ALISHA GRENADE PMHNP-BC (NPI 1356615447) is an individual psychiatric/mental health provider in Queens Village, New York, licensed in New York (403360) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356615447
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALISHA GRENADECredential: PMHNP-BC
Location Address21240 112TH RDQueens Village, NY 11429-2314
Mailing Address21240 112th RdQueens Village, NY 11429-2314 · (917) 705-1426
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 7, 2012
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1356615447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 403360
Also ListedRegistered NurseTaxonomy 163W00000X · License 649732 (NY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F342593-1 (NY)
21240 112TH RD, Queens Village, NY 11429

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

Alisha Grenade 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 ID8224470505
PECOS Enrollment IDI20240531002976
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11429 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Alisha Grenade's NPI number?

The NPI number for Alisha Grenade is 1356615447. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Where is Alisha Grenade located?

Alisha Grenade practices at 21240 112th Rd, Queens Village, NY 11429. The listed phone number is (917) 705-1426.

What is Alisha Grenade's specialty?

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

Is Alisha Grenade enrolled in Medicare?

Yes. Alisha Grenade 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.

Is Alisha Grenade affiliated with any hospitals?

According to CMS data, Alisha Grenade is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Alisha Grenade was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.