LAURENCE GRISANTI PMHNP
NPI 1376878314
Registered Nurse - Psychiatric/Mental Health in Portland, OR

Active since October 08, 2009Opted out of Medicare · through May 24, 2027
522 SW 5TH AVE, SUITE 1125, PORTLAND, OR 97204(503) 395-8326 Get Directions Write a Review

NPPES record last updated: October 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurence Grisanti Pmhnp NPPES

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

LAURENCE GRISANTI PMHNP (NPI 1376878314) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (201050181NP) and active in the NPI registry since October 2009. He has opted out of Medicare through May 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376878314
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameLAURENCE GRISANTICredential: PMHNP
Location Address522 SW 5TH AVE, SUITE 1125Portland, OR 97204-2133
Mailing Address1020 Sw Taylor St, Suite 700Portland, OR 97205-2512 · (503) 395-8326
Sole ProprietorYes
Enumeration DateOctober 8, 2009
Last NPPES UpdateOctober 28, 2016
NPI 1376878314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License Licensed in OR · 201050181NP
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 200640886 RN (OR)
522 SW 5TH AVE, Portland, OR 97204

Other Identifiers 1

Medicaid123190OR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Laurence Grisanti Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 24, 2021 through May 24, 2027.

Opt-Out Effective DateMay 24, 2021
Opt-Out In Effect ThroughMay 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

General Practice
522 SW 5TH AVE, SUITE 718
PORTLAND, OR 97204
Nurse Practitioner (Psychiatric/Mental Health)
522 SW 5TH AVE
PORTLAND, OR 97204
Psychologist (Clinical)
522 SW 5TH AVE, STE 725
PORTLAND, OR 97204
Psychologist
522 SW 5TH AVE, SUITE 725
PORTLAND, OR 97204

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 Laurence Grisanti's NPI number?

The NPI number for Laurence Grisanti is 1376878314. It was assigned to this individual provider in the NPPES registry on October 8, 2009.

Where is Laurence Grisanti located?

Laurence Grisanti practices at 522 SW 5th Ave Suite 1125, Portland, OR 97204. The listed phone number is (503) 395-8326.

What is Laurence Grisanti's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Laurence Grisanti enrolled in Medicare?

No. Laurence Grisanti has opted out of Medicare through May 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Laurence Grisanti accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Laurence Grisanti 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 Laurence Grisanti was last updated on October 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.