Mrs Jessica Grigoreva, - Medicare Nurse Practitioner in Dodge City, KS

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Mrs Jessica Grigoreva, is a medicare enrolled "Nurse Practitioner - Family" in Dodge City, Kansas. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ellsworth County Medical Center, Rooks County Health Center and her current practice location is 112 W Ross Blvd, Dodge City, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 371-7130.

Mrs Jessica Grigoreva is licensed to practice in Kansas (license number 53-75850-031) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619486693.

Contact Information

Mrs Jessica Grigoreva,
112 W Ross Blvd,
Dodge City, KS 67801-7219
(620) 371-7130
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jessica Grigoreva
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location112 W Ross Blvd, Dodge City, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jessica Grigoreva graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1619486693
  • Provider Enumeration Date: 09/22/2017
  • Last Update Date: 04/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072854314
  • Enrollment ID: I20190415000119

Medical Identifiers

Medical identifiers for Mrs Jessica Grigoreva such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619486693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 53-75850-031 (Kansas)Primary
363LP2300XNurse Practitioner - Primary Care 78580 (Kansas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospital District #6 Patterson Health CenterAnthony, KSHospital
Lindsborg Community HospitalLindsborg, KSHospital
Kiowa District HospitalKiowa, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ellsworth County Medical Center539564335721
Rooks County Health Center832595933134

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. Mrs Jessica Grigoreva allows following entities to bill medicare on her behalf.
Entity NameRooks County Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003936840
PECOS PAC ID: 8325959331
Enrollment ID: O20040129000776
Entity NameEdwards County Hospital And Healthcare Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649372012
PECOS PAC ID: 2264343383
Enrollment ID: O20040305000254
Entity NameHospital District No 6 Of Harper County Kansas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467427674
PECOS PAC ID: 3779571906
Enrollment ID: O20040505000589
Entity NameEllsworth County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972504546
PECOS PAC ID: 5395643357
Enrollment ID: O20040716000216
Entity NameGreenwood County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629044961
PECOS PAC ID: 0042129603
Enrollment ID: O20040920000432
Entity NameLindsborg Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023001021
PECOS PAC ID: 3971556580
Enrollment ID: O20050223000687
Entity NameHospital District No 1 Marion Co
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144355793
PECOS PAC ID: 7517923196
Enrollment ID: O20050428000824
Entity NameEdwards County Hospital And Healthcare Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1851403869
PECOS PAC ID: 2264343383
Enrollment ID: O20061104000192
Entity NameWestern Plains Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215292701
PECOS PAC ID: 2264597798
Enrollment ID: O20121128000184
Entity NameWilliams Medical Group Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346608809
PECOS PAC ID: 3375832157
Enrollment ID: O20160518000391
Entity NameHolistic Pain Management Of Kansas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679115919
PECOS PAC ID: 5092129262
Enrollment ID: O20210129000081

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. Mrs Jessica Grigoreva 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
Mrs Jessica Grigoreva,
112 W Ross Blvd,
Dodge City, KS 67801-7219

Ph: () -		Mrs Jessica Grigoreva,
112 W Ross Blvd,
Dodge City, KS 67801-7219

Ph: (620) 371-7130

Reviews and Comments


Nurse Practitioner Nurses in Dodge City, KS

Mrs. Denise R Conant, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N 14th Ave, Suite 104, Dodge City, KS 67801
Phone: 620-225-7744    Fax: 620-225-7002
Katelyn Durler, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 W Ross Blvd, Dodge City, KS 67801
Phone: 620-225-1650    Fax: 620-227-2505
Rachelle Banning, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2601 Central Ave, Ll22, Dodge City, KS 67801
Phone: 620-255-9706    
Mrs. Felecia Jean Minyard, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1513 W Wyatt Earp Blvd, Dodge City, KS 67801
Phone: 620-682-8304    
Mrs. Allison Meredith Simpson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Summerlon Cir Ste B, Dodge City, KS 67801
Phone: 620-371-5252    
Jeremy Estell, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 506 Avenue L, Dodge City, KS 67801
Phone: 620-227-8566    
Michelle Renae Knight, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2120 N 14th Ave Ste B, Dodge City, KS 67801
Phone: 620-255-1410    Fax: 620-254-3520

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.