Azure Grissom, APRN, FNP-C in Colorado Springs, CO

Azure Grissom, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Colorado Springs, Colorado. Her current practice location is 1725 E Boulder St Ste 204, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 471-1069.

Azure Grissom is licensed to practice in Colorado (license number 0994256) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841766268.

Contact Information

	Azure Grissom, APRN, FNP-C
	1725 E Boulder St Ste 204, Colorado Springs, CO 80909-5756
	(719) 471-1069
	(195) 774-8287

Map and Direction

Provider's Profile

Full Name	Azure Grissom
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1725 E Boulder St Ste 204, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841766268
Provider Enumeration Date: 10/24/2018
Last Update Date: 02/28/2022

Medicare PECOS Information:

PECOS PAC ID: 7416291588
Enrollment ID: I20181129002359

Medical Identifiers

Medical identifiers for Azure Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841766268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0994256 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Azure Grissom allows following entities to bill medicare on her behalf.

Entity Name	Pulmonary Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760409676 PECOS PAC ID: 8729070305 Enrollment ID: O20040401001696

Entity Name	Pahs Onpoint Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811555022 PECOS PAC ID: 3476888363 Enrollment ID: O20190715002863

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Azure Grissom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Azure Grissom, APRN, FNP-C 1725 E Boulder St Ste 204, Colorado Springs, CO 80909-5756 Ph: (719) 471-1069	Azure Grissom, APRN, FNP-C 1725 E Boulder St Ste 204, Colorado Springs, CO 80909-5756 Ph: (719) 471-1069

Reviews and Comments

Nurse Practitioner Nurses in Colorado Springs, CO

Barbara J Starkey, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Swope Ave, Colorado Springs, CO 80909 Phone: 719-634-4746 Fax: 719-634-5024
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Jennifer Turnbaugh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3425 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-265-4412 Fax: 719-888-1739
Erika Wittler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6945 Tutt Blvd, Colorado Springs, CO 80923 Phone: 713-493-6437 Fax: 415-252-7176
Sonia Singh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Colorado Springs, CO 80913 Phone: 719-526-7000
Carole Traylor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6071 E. Woodmen Rd, Suite 105, Colorado Springs, CO 80923 Phone: 719-597-8704 Fax: 719-597-6864
Mrs. Rebecca Stone, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Galley Rd, Colorado Springs, CO 80909 Phone: 719-591-2724

Azure Grissom, APRN, FNP-C - Medicare Nurse Practitioner in Colorado Springs, CO