MRS. JESSICA GRIGOREVA
NPI 1619486693
Nurse Practitioner - Family in Dodge City, KS
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
12Medicare enrollment records show Jessica Grigoreva reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spearville, KS 67876
- Reassigned Medicare billing, Kansas enrollment
- 17 clinicians in this Medicare group
Larned, KS 67550
- Reassigned Medicare billing, Kansas enrollment
- Also billed through NPI 1881697811 (Kansas)
- 50 clinicians in this Medicare group
La Crosse, KS 67548
- Reassigned Medicare billing, Kansas enrollment
- 18 clinicians in this Medicare group
Plainville, KS 67663
- Reassigned Medicare billing, Kansas enrollment
- 41 clinicians in this Medicare group
Harper, KS 67058
- Reassigned Medicare billing, Kansas enrollment
- Also billed through NPI 1467427674 (Kansas)
- 27 clinicians in this Medicare group
Ellsworth, KS 67439
- Reassigned Medicare billing, Kansas enrollment
- Also billed through NPI 1083614028 (Kansas)
- 26 clinicians in this Medicare group
Wichita, KS 67202
- Reassigned Medicare billing, Kansas enrollment
- 260 clinicians in this Medicare group
Udall, KS 67146
- Reassigned Medicare billing, Kansas enrollment
- Also billed through NPI 1548229149 (Kansas)
- 156 clinicians in this Medicare group
Marion, KS 66861
- Reassigned Medicare billing, Kansas enrollment
- 37 clinicians in this Medicare group
Eureka, KS 67045
- Reassigned Medicare billing, Kansas enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, KSEllsworth County Medical Center
Critical Access Hospitals · Ellsworth, KSGreenwood County Hospital
Critical Access Hospitals · Eureka, KSHospital District #6 Patterson Health Center
Critical Access Hospitals · Anthony, KSLindsborg Community Hospital
Critical Access Hospitals · Lindsborg, KSPhysician 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.
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.
DODGE CITY, KS 67801
DODGE CITY, KS 67801
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.
Which organizations bill Medicare for Jessica Grigoreva's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Grigoreva reassigns Medicare benefits to 12 organizations: Edwards County Hospital And Healthcare Center (Spearville, KS), Lindsborg Community Hospital Association (Larned, KS), Rush County Memorial Hospital (La Crosse, KS), Rooks County Health Center (Plainville, KS), Hospital District No 6 Of Harper County Kansas (Harper, KS) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Grigoreva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Grigoreva accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer 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.
# Mrs. Jessica Grigoreva · NPI 1619486693
Family physician in Dodge City, Kansas. Individual provider, active in the CMS NPPES registry since September 22, 2017.
## Identity
- **NPI:** 1619486693 (Entity type: Individual)
- **Enumerated:** September 22, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 53-75850-031 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 112 W ROSS BLVD, Dodge City, KS 67801-7219
- **Phone:** (620) 371-7130
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): Edwards County Hospital And Healthcare Center (NPI 1790326189, Spearville, KS); Lindsborg Community Hospital Association (NPI 1225588379, Larned, KS); Rush County Memorial Hospital (NPI 1841240959, La Crosse, KS); Rooks County Health Center (NPI 1003936840, Plainville, KS); Hospital District No 6 Of Harper County Kansas (NPI 1740709955, Harper, KS); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 8, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1619486693) · Data from the CMS NPPES public registry.