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KENDRA D GRISSOM NP
NPI 1487190112
Nurse Practitioner - Pediatrics in Lexington, TN

Active since January 19, 2017PECOS Enrolled
10777 HIGHWAY 412 W, LEXINGTON, TN 38351(731) 968-5558(731) 968-5567 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 2, 2017 and 1 more (4 updates tracked since 2017).

About Kendra D Grissom Np NPPES

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

KENDRA D GRISSOM NP (NPI 1487190112) is an individual pediatrics provider in Lexington, Tennessee, licensed in Tennessee (22181) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487190112
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKENDRA D GRISSOMCredential: NP
Location Address10777 HIGHWAY 412 WLexington, TN 38351-6283
Mailing Address10777 Highway 412 WLexington, TN 38351-6283 · (731) 968-5558 · Fax (731) 968-5567
Phone(731) 968-5558
Fax(731) 968-5567
Sole ProprietorNo
Enumeration DateJanuary 19, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1487190112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 22181
10777 HIGHWAY 412 W, Lexington, TN 38351
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra D 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 38351 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 5

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

ASHLEY KATE MELTON CPNP
Nurse Practitioner (Pediatrics)
10777 HIGHWAY 412 W
LEXINGTON, TN 38351
Henderson County (731) 968-5558
MRS. ELIZABETH ANN SNIDER CPNP-PC, RN, APRN
Nurse Practitioner (Pediatrics)
10777 HIGHWAY 412 W
LEXINGTON, TN 38351
Henderson County (731) 968-5558
LENTZ PEDIATRICS, PLC
Clinic/Center (Rural Health)
10777 HIGHWAY 412 W
LEXINGTON, TN 38351
Henderson County (731) 968-5558
DR. JONATHAN D LENTZ MD
Pediatrics
10777 HIGHWAY 412 W
LEXINGTON, TN 38351
Henderson County (731) 968-5558
CASEY BEECHAM BLAIR FNP
Family Medicine
10777 HIGHWAY 412 W
LEXINGTON, TN 38351
Henderson County (731) 968-5558

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 Kendra Grissom's NPI number?

The NPI number for Kendra Grissom is 1487190112. It was assigned to this individual provider in the NPPES registry on January 19, 2017.

Where is Kendra Grissom located?

Kendra Grissom practices at 10777 Highway 412 W, Lexington, TN 38351. The listed phone number is (731) 968-5558.

What is Kendra Grissom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kendra Grissom enrolled in Medicare?

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

What insurance does Kendra Grissom accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Kendra Grissom 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 Kendra Grissom was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.