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MRS. HOLLISTER GRISSOM NP
NPI 1366964504
Nurse Practitioner - Family in New York, NY

Active since July 10, 2017PECOS Enrolled
1282 YORK AVE, 18TH FLOOR, NEW YORK, NY 10065(646) 697-1700 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2024, Jun 12, 2020, Jan 13, 2019 and 3 more (6 updates tracked since 2017).

About Mrs. Hollister Grissom Np NPPES

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

MRS. HOLLISTER GRISSOM NP (NPI 1366964504) is an individual family provider in New York, New York, licensed in New York (F342651-1) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366964504
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. HOLLISTER GRISSOMCredential: NP
Location Address1282 YORK AVE, 18TH FLOORNew York, NY 10065
Mailing Address1282 York AveNew York, NY 10065 · (646) 697-1700
Phone(646) 697-1700
Sole ProprietorNo
Enumeration DateJuly 10, 2017
Last NPPES UpdateJuly 18, 20246 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1366964504 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 NY · F342651-1
1282 YORK AVE, New York, NY 10065
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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)

Mrs. Hollister Grissom 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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 Hollister Grissom's NPI number?

The NPI number for Hollister Grissom is 1366964504. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Where is Hollister Grissom located?

Hollister Grissom practices at 1282 York Ave 18th Floor, New York, NY 10065. The listed phone number is (646) 697-1700.

What is Hollister Grissom's specialty?

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

Is Hollister Grissom enrolled in Medicare?

Yes. Hollister Grissom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hollister Grissom was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.