ALYSSA GRISSOM APN, AGCNS
NPI 1790213932
Clinical Nurse Specialist - Oncology in Cedar Rapids, IA

Active since June 01, 2017PECOS EnrolledAccepts Medicare Assignment
202 10TH ST SE STE 285, CEDAR RAPIDS, IA 52403(319) 369-7816 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2024, Apr 24, 2024, Jun 1, 2017 (3 updates tracked since 2017).

About Alyssa Grissom Apn, Agcns NPPES

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

ALYSSA GRISSOM APN, AGCNS (NPI 1790213932) is an individual oncology provider in Cedar Rapids, Iowa, licensed in Iowa (W178806) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2015).

NPPES Registry Identity

NPI1790213932
Entity TypeIndividualFemale
Primary Taxonomy364SX0200X
Provider Legal NameALYSSA GRISSOMCredential: APN, AGCNS
Location Address202 10TH ST SE STE 285Cedar Rapids, IA 52403-2437
Mailing Address202 10th St Se Ste 285Cedar Rapids, IA 52403-2437 · (319) 369-7816
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2015
Enumeration DateJune 1, 2017
Last NPPES UpdateApril 30, 20243 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1790213932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · OncologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SX0200X
License✔ Licensed in IA · W178806
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 209014163 (IL)
202 10TH ST SE STE 285, Cedar Rapids, IA 52403

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

Alyssa Grissom Apn, Agcns 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 ID5698117612
PECOS Enrollment IDI20240522002769
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 Reassignment

Medicare enrollment records show Alyssa Grissom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
1026 A AVE NE, SUITE 5000
Cedar Rapids, IA 52402
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: St Lukes Methodist Hospital
  • 166 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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52403 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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 Alyssa Grissom's NPI number?

The NPI number for Alyssa Grissom is 1790213932. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Alyssa Grissom located?

Alyssa Grissom practices at 202 10th St SE Ste 285, Cedar Rapids, IA 52403. The listed phone number is (319) 369-7816.

What is Alyssa Grissom's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Oncology, with taxonomy code 364SX0200X.

Is Alyssa Grissom enrolled in Medicare?

Yes. Alyssa 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.

Which organization bills Medicare for Alyssa Grissom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Grissom reassigns Medicare benefits to St. Luke's Methodist Hospital (Cedar Rapids, IA). The 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 Alyssa Grissom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyssa Grissom accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Alyssa 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.

When was this NPI record last updated?

The NPPES record for Alyssa Grissom was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.