Jessica Nicole Grisham, MSN, APRN, WHNP - Medicare Nurse Practitioner in Carbondale, IL

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Jessica Nicole Grisham, MSN, APRN, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Carbondale, Illinois. Her current practice location is 2601 W Main St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-5361.

Jessica Nicole Grisham is licensed to practice in Illinois (license number 209025601) 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 1134841125.

Contact Information

Jessica Nicole Grisham, MSN, APRN, WHNP
2601 W Main St,
Carbondale, IL 62901-1031
(618) 549-5361
(618) 351-4878

Map and Direction




Provider's Profile

Full NameJessica Nicole Grisham
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location2601 W Main St, Carbondale, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134841125
  • Provider Enumeration Date: 09/15/2022
  • Last Update Date: 10/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9638537129
  • Enrollment ID: I20230808000168

Medical Identifiers

Medical identifiers for Jessica Nicole Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134841125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 209025601 (Illinois)Primary
363L00000XNurse Practitioner 209025601 (Illinois)Secondary

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. Jessica Nicole Grisham allows following entities to bill medicare on her behalf.
Entity NameHeartland Women's Healthcare Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851307532
PECOS PAC ID: 1759270648
Enrollment ID: O20040310001225

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. Jessica Nicole Grisham 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 AddressPractice Location Address
Jessica Nicole Grisham, MSN, APRN, WHNP
Po Box 3988,
Carbondale, IL 62902-3988

Ph: (618) 457-5200		Jessica Nicole Grisham, MSN, APRN, WHNP
2601 W Main St,
Carbondale, IL 62901-1031

Ph: (618) 549-5361

Reviews and Comments


Nurse Practitioner Nurses in Carbondale, IL

Whitney Mcguire, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901
Phone: 618-351-4972    Fax: 618-351-6522
Cynthia Snider, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Ashley Nicole Mitchell, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901
Phone: 618-529-7821    
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 405 W Jackson St, Carbondale, IL 62901
Phone: 618-549-0721    
Lindsay B Casolari, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878
Andrea Williams, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2601 W Main St, Carbondale, IL 62901
Phone: 618-549-5361    Fax: 618-351-4878

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.