ADDISON GRISAFFI D.C.
NPI 1407392178
Chiropractor in Pocatello, ID

Active since January 18, 2017Accepts Medicare Assignment
335 E LEWIS ST, STE 10, POCATELLO, ID 83201(208) 775-7123(208) 550-3348 Get Directions Write a Review

NPPES record last updated: May 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2021, Jan 18, 2017 (2 updates tracked since 2017).

About Addison Grisaffi D.c. NPPES

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

ADDISON GRISAFFI D.C. (NPI 1407392178) is an individual chiropractor in Pocatello, Idaho, licensed in Idaho (CHIA1729) and active in the NPI registry since January 2017. He is a graduate of Logan College Of Chiropractic (2016).

NPPES Registry Identity

NPI1407392178
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameADDISON GRISAFFICredential: D.C.
Location Address335 E LEWIS ST, STE 10Pocatello, ID 83201
Mailing Address335 E Lewis St, Ste 10Pocatello, ID 83201 · (208) 775-7123 · Fax (208) 550-3348
Fax(208) 550-3348
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2016
Enumeration DateJanuary 18, 2017
Last NPPES UpdateMay 8, 20212 updates tracked since enumeration
NPPES CertifiedMay 8, 2021
NPI 1407392178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · CHIA1729
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
335 E LEWIS ST, Pocatello, ID 83201

Accepted 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

Addison Grisaffi D.c. 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 ID42595647
PECOS Enrollment IDI20240125003577

Other Providers at the Same Location NPPES 2

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

Physical Therapist
335 E LEWIS ST, STE 10
POCATELLO, ID 83201
Physical Therapist
335 E LEWIS ST, STE 10
POCATELLO, ID 83201

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 Addison Grisaffi's NPI number?

The NPI number for Addison Grisaffi is 1407392178. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Addison Grisaffi located?

Addison Grisaffi practices at 335 E Lewis St Ste 10, Pocatello, ID 83201. The listed phone number is (208) 775-7123.

What is Addison Grisaffi's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Addison Grisaffi enrolled in Medicare?

Yes. Addison Grisaffi 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.

What insurance does Addison Grisaffi accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Addison Grisaffi 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 Addison Grisaffi was last updated on May 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.