Individual provider Active NPI

Jennifer Leigh Griesel, M.D.

  • Obstetrics & Gynecology Physician
  • Tripler Army Medical Center, HI
National Provider Identifier
1003293754
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
BP10053125 Issued in TX
Practice address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone
(888) 683-2778
NPI assigned
May 1, 2015
Reactivated
Mar 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BP10053125 TX Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Other practice location 1

18511 Pellicano Dr
El Paso, TX 79925
Phone (915) 742-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722004560 TX Practitioner - Obstetrics/Gynecology 6002102027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 35100
Billings, MT 59107

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
84.73
Promoting interoperability
89
Improvement activities
40
Cost
71.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jul 1, 2025 Accepting new patients
Castle Medical Center Current Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation Current Accepting new patients

Locations

642 Ulukahiki St
Ste 305
Kailua, HI 96734
Phone (808) 261-6644

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1003293754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "888-683-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18511 Pellicano Dr",
            "address_purpose": "LOCATION",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925",
            "country_code": "US",
            "telephone_number": "915-742-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIESEL",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "deactivation_date": "2026-02-13",
        "reactivation_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10053125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

Verify at the official NPI Registry.