AMBER GRISHAM CPNP-PC
NPI 1639913494
Nurse Practitioner - Pediatrics in Dallas, TX
About Amber Grisham Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMBER GRISHAM CPNP-PC (NPI 1639913494) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (1164915) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Amber Grisham Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75235 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
DALLAS, TX 75235
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 Amber Grisham's NPI number?
The NPI number for Amber Grisham is 1639913494. It was assigned to this individual provider in the NPPES registry on June 25, 2024.
Where is Amber Grisham located?
Amber Grisham practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-7000.
What is Amber Grisham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Amber Grisham enrolled in Medicare?
Yes. Amber Grisham is registered in the Medicare PECOS enrollment system.
What insurance does Amber Grisham accept?
Health plans from Blue Cross and Blue Shield of Texas list Amber Grisham 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 Amber Grisham was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Amber Grisham, CPNP-PC · NPI 1639913494
Pediatrics physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since June 25, 2024.
## Identity
- **NPI:** 1639913494 (Entity type: Individual)
- **Enumerated:** June 25, 2024
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 1164915 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1935 MEDICAL DISTRICT DR, Dallas, TX 75235-7701
- **Phone:** (214) 456-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** September 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639913494) · Data from the CMS NPPES public registry.