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RAEGAN GRISCOM
NPI 1932775004
Nurse Practitioner - Primary Care in Wilmington, DE

Active since May 31, 2021PECOS Enrolled
1601 KIRKWOOD HWY FL 3, WILMINGTON, DE 19805(302) 994-5211 Get Directions Write a Review

NPPES record last updated: May 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raegan Griscom NPPES

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

RAEGAN GRISCOM (NPI 1932775004) is an individual primary care provider in Wilmington, Delaware, licensed in Delaware (LP-0010421) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932775004
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameRAEGAN GRISCOM
Location Address1601 KIRKWOOD HWY FL 3Wilmington, DE 19805-4917
Mailing Address1524 Dilworth RdWilmington, DE 19805-1214 · (302) 388-3933
Phone(302) 994-5211
Sole ProprietorNo
Enumeration DateMay 31, 2021
NPPES CertifiedMay 31, 2021
✔ NPI 1932775004 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 DE · LP-0010421
1601 KIRKWOOD HWY FL 3, Wilmington, DE 19805
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raegan Griscom 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19805 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 Raegan Griscom's NPI number?

The NPI number for Raegan Griscom is 1932775004. It was assigned to this individual provider in the NPPES registry on May 31, 2021.

Where is Raegan Griscom located?

Raegan Griscom practices at 1601 Kirkwood Hwy Fl 3, Wilmington, DE 19805. The listed phone number is (302) 994-5211.

What is Raegan Griscom's specialty?

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

Is Raegan Griscom enrolled in Medicare?

Yes. Raegan Griscom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raegan Griscom was last updated on May 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.