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DONNA GRISHAM
NPI 1912771486
Nurse Practitioner - Family in Tupelo, MS

Active since November 14, 2023PECOS EnrolledAccepts Medicare Assignment
65 S THOMAS ST, TUPELO, MS 38801(662) 350-7010(662) 350-7011 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 8, 2026, Nov 14, 2023 (2 updates tracked since 2023).

About Donna Grisham NPPES

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

DONNA GRISHAM (NPI 1912771486) is an individual family provider in Tupelo, Mississippi, licensed in Mississippi (905951) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and maintains a secondary practice location in Ecru.

NPPES Registry Identity

NPI1912771486
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDONNA GRISHAM
Location Address65 S THOMAS STTupelo, MS 38801-4352
Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 472-5348
Phone(662) 350-7010
Fax(662) 350-7011
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 14, 2023
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1912771486 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 MS · 905951
65 S THOMAS ST, Tupelo, MS 38801
Open in Google Maps ↗

Secondary Practice Location 1

Location 15482 Highway 15 NEcru, MS 38841 · Phone (662) 488-8799

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Donna Grisham 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 ID5395289987
PECOS Enrollment IDI20240708001676
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 Donna Grisham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arcare
165 mi
Federally Qualified Health Center (FQHC)
117 S 2ND ST
Augusta, AR 72006
  • Reassigned Medicare billing, Mississippi enrollment
  • 27 clinicians in this Medicare group
NPI 1275635542 (870) 347-2534

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 5

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

JOANNIE FRANKLIN MD
Family Medicine
65 S THOMAS ST
TUPELO, MS 38801
Lee County (662) 844-9376
CHRISTY TUCKER OSWALT M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
65 S THOMAS ST
TUPELO, MS 38801
Lee County (662) 842-7870
NORTH MISSISSIPPI ENDOCRINE CENTER
Internal Medicine (Endocrinology, Diabetes & Metabolism)
65 S THOMAS ST
TUPELO, MS 38801
Lee County (662) 842-7870
WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC
Nurse Practitioner (Primary Care)
65 S THOMAS ST
TUPELO, MS 38801
Lee County (813) 712-9638
ARCARE
Clinic/Center (Federally Qualified Health Center (FQHC))
65 S THOMAS ST
TUPELO, MS 38801
Lee County (662) 350-7010

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 Donna Grisham's NPI number?

The NPI number for Donna Grisham is 1912771486. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Where is Donna Grisham located?

Donna Grisham practices at 65 S Thomas St, Tupelo, MS 38801. The listed phone number is (662) 350-7010.

What is Donna Grisham's specialty?

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

Is Donna Grisham enrolled in Medicare?

Yes. Donna Grisham 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 Donna Grisham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Grisham reassigns Medicare benefits to Arcare (Augusta, AR). 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 Donna Grisham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Grisham accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Donna 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.

Is Donna Grisham affiliated with any hospitals?

According to CMS data, Donna Grisham is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Grisham was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.