Individual provider Active NPI

Meriam Grizzle, NP

  • Family Nurse Practitioner
  • Grandview, MO
National Provider Identifier
1336544113
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014034215 Issued in MO
Practice address
6809 E 138TH St
Grandview, MO 64030-3951
Phone
(816) 813-6283
NPI assigned
Oct 23, 2014
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 2014034215 MO Primary

Addresses

Primary practice location

6809 E 138TH St
Grandview, MO 64030-3951

Mailing address

6809 E 138TH St
Grandview, MO 64030-3951
Phone (816) 813-6283

Other names 1

  • Meriam Pattillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20141118000136 KS Practitioner - Nurse Practitioner 8820210529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group of Kansas LLCGroup PAC ID 9436583275, 10 clinicians

Practice addresses (Care Compare)

101 Lee Ave
Columbus, KS 66725-1021
Phone (620) 429-2134

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group of Kansas LLC CurrentSince Jan 31, 2025 Accepting new patients
Complete Coverage LLC Past Accepting new patients

Locations

101 Lee Ave
Columbus, KS 66725
Phone (620) 429-2134

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1336544113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 E 138TH ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640303951",
            "telephone_number": "816-813-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 E 138TH ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640303951",
            "telephone_number": "816-813-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZLE",
        "first_name": "MERIAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014034215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERIAM",
            "last_name": "PATTILLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grandview, MO

Sources for this page

Verify at the official NPI Registry.