Individual provider Active NPI

Claire E Grisham, FNP

  • Family Nurse Practitioner
  • East Prairie, MO
National Provider Identifier
1144082520
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024002820 Issued in MO
Practice address
320 N Lincoln St
East Prairie, MO 63845-1160
Phone
(573) 649-3026
Fax
(573) 649-5600
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024002820 MO Primary

Addresses

Primary practice location

320 N Lincoln St
East Prairie, MO 63845-1160

Mailing address

PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207000457 MO Practitioner - Nurse Practitioner 6901249911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

1212 Saint Francis Dr
Dexter, MO 63841-2769
Phone (573) 614-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024002820MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center CurrentSince Oct 16, 2024 Accepting new patients
Wound Care Plus, LLC CurrentSince Jan 24, 2024 Accepting new patients
Saint Francis Medical Center CurrentSince Oct 16, 2024 Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1212 Saint Francis Dr
Dexter, MO 63841
Phone (573) 614-3600

320 N Lincoln St
East Prairie, MO 63845
Phone (573) 471-0330

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

1 Veterans Way
Mexico, MO 65265
Phone (573) 581-1088

1 Georgian Gardens Dr
Potosi, MO 63664
Phone (516) 464-8023

11400 Hidden Lake Dr
Raytown, MO 64133
Phone (816) 737-1010

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

10600 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 340-6389

1800 S Ingram Ave
Sedalia, MO 65301
Phone (660) 826-2300

Interoperability endpoints

  • Direct secure messaging: cgrisham14008@surescripts.sfmc.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1144082520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801143",
            "telephone_number": "573-331-5583",
            "fax_number": "573-331-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N LINCOLN ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638451160",
            "telephone_number": "573-649-3026",
            "fax_number": "573-649-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "CLAIRE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024002820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Prairie, MO

Sources for this page

Verify at the official NPI Registry.