MARY CATHERINE GRISSOM APRN
NPI 1730780354
Nurse Practitioner - Acute Care in Orlando, FL

Active since November 02, 2020PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
1115 E RIDGEWOOD ST, ORLANDO, FL 32803(407) 841-1100 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Jan 13, 2023, Sep 23, 2022 and 1 more (4 updates tracked since 2020).

About Mary Catherine Grissom Aprn NPPES

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

MARY CATHERINE GRISSOM APRN (NPI 1730780354) is an individual acute care provider in Orlando, Florida, licensed in Florida (APRN11009353) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Tavares.

NPPES Registry Identity

NPI1730780354
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARY CATHERINE GRISSOMCredential: APRN
Location Address1115 E RIDGEWOOD STOrlando, FL 32803-5443
Mailing Address326 N Mills AveOrlando, FL 32803-5734 · (407) 841-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 2, 2020
Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1730780354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · APRN11009353
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN11009353 (FL)
1115 E RIDGEWOOD ST, Orlando, FL 32803

Secondary Practice Location 1

Location 12093 Appalachee CirTavares, FL 32778-2001 · Phone (352) 455-2215

Other Identifiers 1

Medicaid112792700FL

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

Mary Catherine Grissom Aprn 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 ID6608266655
PECOS Enrollment IDI20211206001295
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
78 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
1115 E RIDGEWOOD ST
ORLANDO, FL 32803
Nurse Practitioner (Family)
1115 E RIDGEWOOD ST
ORLANDO, FL 32803
Nurse Practitioner (Acute Care)
1115 E RIDGEWOOD ST
ORLANDO, FL 32803
Family Medicine
1115 E RIDGEWOOD ST
ORLANDO, FL 32803
Nurse Practitioner (Critical Care Medicine)
1115 E RIDGEWOOD ST
ORLANDO, FL 32803
Nurse Practitioner
1115 E RIDGEWOOD ST
ORLANDO, FL 32803
Nurse Practitioner (Acute Care)
1115 E RIDGEWOOD ST
ORLANDO, FL 32803
Internal Medicine (Pulmonary Disease)
1115 E RIDGEWOOD ST
ORLANDO, FL 32803

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 Mary Grissom's NPI number?

The NPI number for Mary Grissom is 1730780354. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Mary Grissom located?

Mary Grissom practices at 1115 E Ridgewood St, Orlando, FL 32803. The listed phone number is (407) 841-1100.

What is Mary Grissom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Grissom enrolled in Medicare?

Yes. Mary 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 Mary Grissom accept?

Health plans from Wellpoint list Mary 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 Mary Grissom affiliated with any hospitals?

According to CMS data, Mary Grissom is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Mary Grissom was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.