Chassidy Renee Grigsby

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.008762RX Issued in OH

Practice address

770 W High St Ste 460
Lima, OH 45801-5908

Phone

(419) 226-4300

Fax

(419) 996-4305

NPI assigned

Jan 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Chassidy Oatman Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: cgrigsby2637218@direct.bsmhealth.org

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.

• Mercy Health Physicians Lima Specialty Care LLC

  • Surgery Physician
  • Lima, OH
  • NPI 1518589803
  Medicare reassignment Care Compare group
• Baldwin Wallace University

  • Student Health Clinic/Center
  • Berea, OH
  • NPI 1730157272
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Mercy Health-St Ritas Medical Center LLC

  • Psychiatric Hospital Unit
  • Lima, OH
  • NPI 1447276936
  Care Compare affiliation
• Mercy Health-St Ritas Medical Center LLC

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1811939887
  Care Compare affiliation

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1902558299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 460",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015908",
            "telephone_number": "419-226-4300",
            "fax_number": "419-996-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 460",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015908",
            "telephone_number": "419-226-4300",
            "fax_number": "419-996-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "CHASSIDY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008762RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHASSIDY",
            "last_name": "OATMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John R Griffith, CNP
• Kirk M. Griffith, M.D.
• Nathan M Griffith, PHD
• Morgan Griffo
• Rachael Borges Griffo, AU.D.
• Anthony Michael Grilliot, CRNA
• Lisa Groh
• Alicia Joan Groman, APRN CNP
• Alexa Renee Gross, M.ED., BCBA
• Bridget Don Grothjan, RN

• Physician Assistant in Lima, OH
• Providers in Lima, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.