Doctor profile · Federal record

Dr. Mary Grissom, APRN

Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Gerontology Nurse Practitioner · Orlando, FL

  • NPI 1730780354
  • Accepts Medicare
  • MIPS 78.0 / 100 · 2023
  • 6 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
1115 E Ridgewood St
Orlando, FL 328035443
(407) 841-1100
Additional location
2093 Appalachee Cir
Tavares, FL 327782001
(352) 455-2215
Mailing address
326 N Mills Ave
Orlando, FL 328035734

Credentials & registration

NPPES · NUCC
NPI registered
November 2020 — 6 yrs on file
Profile last updated
August 8, 2024
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363LA2100X — NUCC code
State license (1)
Florida #APRN11009353
Medicaid
FL #112792700

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1730780354. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
57
Distinct HCPCS
1
Medicare allowed
$10,365
HCPCS Description Services Patients Avg allowed
99291 Critical care, first 30-74 minutes 57 38 $182

In context: peer comparison

Among 20 peers in Orlando Acute Care Nurse Practitioner, average services per provider: 104. This provider delivers 0.5× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Mary Grissom's medical specialty?
Dr. Mary Grissom practices Acute Care Nurse Practitioner in Orlando, FL.
Where does Dr. Mary Grissom practice?
Dr. Mary Grissom practices at 1115 E Ridgewood St, Orlando, FL 328035443. Office phone: 4078411100.
What is Dr. Mary Grissom's NPI?
Dr. Mary Grissom's National Provider Identifier (NPI) is 1730780354, issued by NPPES.
Does Dr. Mary Grissom accept Medicare assignment?
Yes. Dr. Mary Grissom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary Grissom commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.