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MRS. JESSICA GRIGOREVA
NPI 1619486693
Nurse Practitioner - Family in Dodge City, KS

Active since September 22, 2017PECOS EnrolledAccepts Medicare Assignment
112 W ROSS BLVD, DODGE CITY, KS 67801(620) 371-7130 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2019, Feb 5, 2019, Sep 22, 2017 (3 updates tracked since 2017).

About Mrs. Jessica Grigoreva NPPES

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

MRS. JESSICA GRIGOREVA (NPI 1619486693) is an individual family provider in Dodge City, Kansas, licensed in Kansas (53-75850-031) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Salina Regional Health Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619486693
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JESSICA GRIGOREVA
Location Address112 W ROSS BLVDDodge City, KS 67801-7219
Mailing Address112 W Ross BlvdDodge City, KS 67801-7219
Phone(620) 371-7130
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 22, 2017
Last NPPES UpdateApril 8, 20193 updates tracked since enumeration
✔ NPI 1619486693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KS · 53-75850-031
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 78580 (KS)
112 W ROSS BLVD, Dodge City, KS 67801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter 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 and accepts Medicare assignment

Mrs. Jessica Grigoreva 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 ID3072854314
PECOS Enrollment IDI20190415000119
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
209 services122 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Salina Regional Health Center

Acute Care Hospitals · Salina, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170012
Location400 South Santa Fe AvenueSalina, KS 67401 · Saline County
Emergency services Birthing friendly

Ellsworth County Medical Center

Critical Access Hospitals · Ellsworth, KS
OwnershipProprietary
CMS Certification Number171327
Location1604 Aylward AvenueEllsworth, KS 67439 · Ellsworth County
Emergency services

Greenwood County Hospital

Critical Access Hospitals · Eureka, KS
OwnershipGovernment - Local
CMS Certification Number171339
Location100 W 16th StreetEureka, KS 67045 · Greenwood County
Emergency services

Hospital District #6 Patterson Health Center

Critical Access Hospitals · Anthony, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171346
Location485 N. Ks Hwy 2Anthony, KS 67003 · Harper County
Emergency services

Lindsborg Community Hospital

Critical Access Hospitals · Lindsborg, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171358
Location605 W Lincoln StreetLindsborg, KS 67456 · Mcpherson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67801 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 8

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

CENTRAL CARE, PA
Specialist
112 W ROSS BLVD, SUITE D
DODGE CITY, KS 67801
Ford County (620) 371-7200
WESTERN PLAINS PHYSICIAN PRACTICES LLC
Ophthalmology
112 W ROSS BLVD, SUITE D
DODGE CITY, KS 67801
Ford County (620) 371-6446
WESTERN PLAINS PHYSICIAN PRACTICES, LLC
Internal Medicine
112 W ROSS BLVD, SUITE B
DODGE CITY, KS 67801
Ford County (620) 371-6860
DODGE CITY HEALTHCARE GROUP LP
Surgery
112 W ROSS BLVD, SUITE E
DODGE CITY, KS 67801
Ford County (620) 227-5334
DODGE CITY HEALTHCARE GROUP LP
Orthopaedic Surgery
112 W ROSS BLVD, SUITE C
DODGE CITY, KS 67801
Ford County (620) 227-2064
WESTERN PLAINS PHYSICIAN PRACTICES LLC
Orthopaedic Surgery
112 W ROSS BLVD, SUITE C
DODGE CITY, KS 67801
Ford County (620) 227-2064
WESTERN PLAINS PHYSICIAN PRACTICES LLC
Surgery
112 W ROSS BLVD, SUITE C
DODGE CITY, KS 67801
Ford County (620) 227-5334
CENTRAL CARE, PA
Non-Pharmacy Dispensing Site
112 W ROSS BLVD
DODGE CITY, KS 67801
Ford County (620) 371-7200

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 Jessica Grigoreva's NPI number?

The NPI number for Jessica Grigoreva is 1619486693. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Where is Jessica Grigoreva located?

Jessica Grigoreva practices at 112 W Ross Blvd, Dodge City, KS 67801. The listed phone number is (620) 371-7130.

What is Jessica Grigoreva's specialty?

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

Is Jessica Grigoreva enrolled in Medicare?

Yes. Jessica Grigoreva 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 Jessica Grigoreva accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Jessica Grigoreva 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.

Is Jessica Grigoreva affiliated with any hospitals?

According to CMS data, Jessica Grigoreva is affiliated with Salina Regional Health Center, Ellsworth County Medical Center, Greenwood County Hospital, Hospital District #6 Patterson Health Center and Lindsborg Community Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Grigoreva was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.