Amber Nicole Grissom, DNP, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

CNP201287 Issued in ME

Practice address

689 Broadway
Bangor, ME 04401-3366

Phone

(207) 744-8424

Fax

(207) 744-8425

NPI assigned

Mar 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amber Nicole Price Former name

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Convenientmd LLCGroup PAC ID 2062667033, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
• St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amber.grissom.1@33606.direct.athenahealth.com

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.

• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Westbrook, ME
  • NPI 1710402359
  Medicare reassignment Care Compare group NPD
• Convenientmd LLC

  • Primary Care Clinic/Center
  • Portland, ME
  • NPI 1609694207
  NPD
• Convenientmd LLC

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1881401552
  NPD
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Windham, NH
  • NPI 1528330180
  NPD (past)

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

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Care Compare affiliation
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Care Compare affiliation

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1689177867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013366",
            "telephone_number": "207-744-8424",
            "fax_number": "207-744-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013366",
            "telephone_number": "207-744-8424",
            "fax_number": "207-744-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSOM",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP201287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "PRICE",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "DNP, AGNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory P. Kramer, D.M.D., P.a.
• Heather Arline Gregory-Martin, MD
• Jonas Gricius, M.D.
• James Grindle, PMH NP
• Lisa Madge Grindle, PMH-NP
• Andrea K Groft, PAC
• Geraldine Gross, MA, CCC-SLP
• Irwin Gross, M.D.
• Ion Dan Grosu, M.D.
• Karen Lee Grotton Pelletier, LCPCC

• Primary Care Nurse Practitioner in Bangor, ME
• Providers in Bangor, ME by specialty
• Primary Care Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.