Individual provider Active NPI

Nicole Grishkevich

  • Family Nurse Practitioner
  • Weirton, WV
National Provider Identifier
1326582602
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1116352 Issued in WV
Practice address
651 Colliers Way Ste 300
Weirton, WV 26062-5058
Phone
(304) 797-6404
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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 F1116352 WV Primary

Addresses

Primary practice location

651 Colliers Way Ste 300
Weirton, WV 26062-5058

Mailing address

651 Colliers Way Ste 300
Weirton, WV 26062-5058
Phone (304) 797-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20170306002057 WV Practitioner - Nurse Practitioner 4486938792 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000

Hospital & facility affiliations

  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1116352WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Emergency Services, Inc. CurrentSince Mar 19, 2020 Accepting new patients
Wheeling Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Wheeling Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Jul 10, 2020 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Jul 10, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 21, 2023 Accepting new patients
West Virginia University Hospitals Inc Current Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 7

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 3

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": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1326582602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 300",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058",
            "telephone_number": "304-797-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 300",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058",
            "telephone_number": "304-797-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHKEVICH",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "F1116352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.