DR. AMBER NICOLE GRISSOM DNP, AGNP-C
NPI 1689177867
Nurse Practitioner - Primary Care in Bangor, ME

Active since March 14, 2018PECOS EnrolledAccepts Medicare Assignment
689 BROADWAY, BANGOR, ME 04401(207) 744-8424(207) 744-8425 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, Nov 11, 2020, Oct 25, 2020 and 3 more (6 updates tracked since 2018).

About Dr. Amber Nicole Grissom Dnp, Agnp-c NPPES

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

DR. AMBER NICOLE GRISSOM DNP, AGNP-C (NPI 1689177867) is an individual primary care provider in Bangor, Maine, licensed in Maine (CNP201287) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689177867
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDR. AMBER NICOLE GRISSOMCredential: DNP, AGNP-C
Location Address689 BROADWAYBangor, ME 04401-3366
Mailing Address689 BroadwayBangor, ME 04401-3366 · (207) 744-8424 · Fax (207) 744-8425
Fax(207) 744-8425
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 14, 2018
Last NPPES UpdateNovember 10, 20256 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1689177867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in ME · CNP201287
689 BROADWAY, Bangor, ME 04401

Other Names 1

Former Name (1)Dr. Amber Nicole Price Dnp, Agnp-c

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

Dr. Amber Nicole Grissom Dnp, Agnp-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 ID2163786633
PECOS Enrollment IDI20201103002089
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 2

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 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.
200 services124 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.
47 services40 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims36 services$6.29 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$40.67 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier13 claims13 services$170.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
689 BROADWAY
BANGOR, ME 04401
Family Medicine
689 BROADWAY
BANGOR, ME 04401
Nurse Practitioner (Family)
689 BROADWAY
BANGOR, ME 04401
Family Medicine
689 BROADWAY
BANGOR, ME 04401

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 Grissom's NPI number?

The NPI number for Amber Grissom is 1689177867. It was assigned to this individual provider in the NPPES registry on March 14, 2018. The provider is also known as Dr. Amber Nicole Price Dnp, Agnp-C.

Where is Amber Grissom located?

Amber Grissom practices at 689 Broadway, Bangor, ME 04401. The listed phone number is (207) 744-8424.

What is Amber Grissom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Amber Grissom enrolled in Medicare?

Yes. Amber Grissom 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 Amber Grissom accept?

Health plans from Anthem Blue Cross and Blue Shield list Amber 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.

Is Amber Grissom affiliated with any hospitals?

According to CMS data, Amber Grissom is affiliated with St Joseph Hospital and Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Amber Grissom was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.