JELANA GRISSOM NP
NPI 1750931739
Nurse Practitioner - Family in Schenectady, NY

Q: What is Jelana Grissom's NPI number?

The NPI number for Jelana Grissom is 1750931739. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Q: What is Jelana Grissom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jelana Grissom was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 12, 2019PECOS Enrolled

124 ROSA RD, SUITE 382, SCHENECTADY, NY 12308(518) 386-3691(518) 386-3553 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 24, 2019, Sep 12, 2019 (2 updates tracked since 2019).

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About Jelana Grissom Np NPPES

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

JELANA GRISSOM NP (NPI 1750931739) is an individual family provider in Schenectady, New York, licensed in New York (344810) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750931739

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJELANA GRISSOMCredential: NP

Location Address124 ROSA RD, SUITE 382Schenectady, NY 12308

Mailing Address124 Rosa Rd, Suite 382Schenectady, NY 12308 · (518) 386-3691 · Fax (518) 386-3553

Phone(518) 386-3691

Fax(518) 386-3553

Sole ProprietorNo

Enumeration DateSeptember 12, 2019

Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration

✔ NPI 1750931739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 344810

124 ROSA RD, Schenectady, NY 12308

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jelana Grissom Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Jelana Grissom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Schenectady Pulmonary & Critical Care Associates PC

Same address

Pulmonary Disease

124 ROSA RD, SUITE 382
Schenectady, NY 12308

Reassigned Medicare billing, New York enrollment
27 clinicians in this Medicare group

NPI 1013042084 (518) 386-3691

Beacon Health Medical PC

148 mi

Internal Medicine

17 W 9TH ST
Brooklyn, NY 11231

Reassigned Medicare billing, New York enrollment
60 clinicians in this Medicare group

NPI 1679393052 (718) 599-9090

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 6

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

687 services349 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

196 services109 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

58 services42 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

26 services25 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

21 services19 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12308 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers31 claims33 services$14.99 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers57 claims59 services$72.63 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 18

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

SCHENECTADY PULMONARY & CRITICAL CARE ASSOCIATES PC

Internal Medicine (Pulmonary Disease)