2026 NPPES data Obstetrics & Gynecology Nurse Practitioner NPI 1821099151 FNP
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MELISSA GRISSINGER, FNP

Obstetrics & Gynecology Nurse Practitioner in JOHNSON CITY, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
402
Medicare Part D claims · 140 beneficiaries · Obstetrics & Gynecology Nurse Practitioner avg: 232
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$354.04
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MELISSA GRISSINGER, FNP filed 402 Medicare Part D claims in 2023 as a Obstetrics & Gynecology Nurse Practitioner in JOHNSON CITY, Tennessee, prescribing 82% generic.

402
Part D claims, 2023
82%
generic prescribing
$354.04
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MELISSA GRISSINGER, FNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

402 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about MELISSA GRISSINGER, FNP?

Quality data not reported

NPI registry status

Active

Issued 08/09/2005

NPI 1821099151

Primary specialty

Obstetrics & Gynecology Nurse Practitioner

Niche

2,864 US NPIs in this specialty

Medicare Part D claims

402 73% vs specialty avg

2023 prescription claims

Specialty avg: 232

Specialty distribution in Tennessee

How Obstetrics & Gynecology Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Obstetrics & Gynecology Nurse Practitioner share within Tennessee

1. Obstetrics & Gynecology Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Nurse Practitioner share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Obstetrics & Gynecology Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Obstetrics & Gynecology Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Obstetrics & Gynecology Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Obstetrics & Gynecology Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MELISSA GRISSINGER, FNP appears in the CMS NPPES registry as a Obstetrics & Gynecology Nurse Practitioner provider holding FNP credentials at 301 MED TECH PKWY, JOHNSON CITY, TN, 37604, with a listed phone of (423) 794-1300. NPI 1821099151 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRISSINGER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 402 prescription claims written by this provider, covering 140 Medicare beneficiaries and totaling roughly $42K in drug spend, split 18% brand-name and 82% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Obstetrics & Gynecology Nurse Practitioner is a narrow specialty nationwide, with 2,864 enrolled providers across 52 states and an average of 232 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

301 MED TECH PKWY
JOHNSON CITY, TN 37604

Provider Details

NPI 1821099151
Specialty Obstetrics & Gynecology Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 08/09/2005

Hospital and facility affiliations

Facilities where MELISSA GRISSINGER, FNP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC
JOHNSON CITY, TN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MELISSA GRISSINGER, FNP. Source: openpaymentsdata.cms.gov.

Total received

$354

Largest payer

Sumitomo Pharma America, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

MELISSA GRISSINGER, FNP — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 402 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

402
Total Claims
$42K
Total Drug Cost
140
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
654
Total Day Supply
16,894
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$29K
Generic Drug Cost
$12K
Antibiotic Claims
30

Patient Demographics

Average Patient Age
67.6 years
Avg HCC Risk Score
1.07
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MELISSA GRISSINGER, FNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Estradiol
83
Fluconazole
43
Estradiol (Once Weekly)
Estradiol
23
Fluoxetine Hcl
18
Triamcinolone Acetonide
18
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
16
Metronidazole
14
Myrbetriq
Mirabegron
13
Estradiol (Twice Weekly)
Estradiol
12
Dotti
Estradiol
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Obstetrics & Gynecology Nurse Practitioner Overview

How MELISSA GRISSINGER, FNP fits within the Obstetrics & Gynecology Nurse Practitioner landscape nationally.

2,864
Obstetrics & Gynecology Nurse Practitioner Providers in US
52
States with Obstetrics & Gynecology Nurse Practitioner
232
Avg Claims per Provider

MELISSA GRISSINGER, FNP's 402 claims are above the specialty average of 232.

Nearby Obstetrics & Gynecology Nurse Practitioner Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as GRISSINGER.

Compare Obstetrics & Gynecology Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is MELISSA GRISSINGER, FNP's specialty?
MELISSA GRISSINGER, FNP specializes in Obstetrics & Gynecology Nurse Practitioner and practices in JOHNSON CITY, Tennessee. Credentials: FNP.
How much does MELISSA GRISSINGER, FNP prescribe under Medicare Part D?
In 2023, MELISSA GRISSINGER, FNP wrote 402 Medicare Part D claims totaling $42K in drug costs for 140 beneficiaries.
Where is MELISSA GRISSINGER, FNP located?
MELISSA GRISSINGER, FNP is located at 301 MED TECH PKWY, JOHNSON CITY, TN, 37604. Phone: (423) 794-1300.
What is MELISSA GRISSINGER, FNP's NPI number?
MELISSA GRISSINGER, FNP's National Provider Identifier (NPI) is 1821099151, issued on 08/09/2005.
Does MELISSA GRISSINGER, FNP prescribe more brand-name or generic drugs?
MELISSA GRISSINGER, FNP's prescribing is 18% brand-name and 82% generic drugs by claim count, with $29K in brand drug costs.
How many Obstetrics & Gynecology Nurse Practitioner providers are there in the US?
There are 2,864 Obstetrics & Gynecology Nurse Practitioner providers across 52 states in the US. The average Obstetrics & Gynecology Nurse Practitioner provider writes 232 Medicare Part D claims per year.
What drugs does MELISSA GRISSINGER, FNP prescribe most often?
Based on 2023 Medicare Part D data, MELISSA GRISSINGER, FNP's most frequently prescribed drugs include Estradiol, Fluconazole, Estradiol (Once Weekly). This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISSA GRISSINGER, FNP accept Medicare?
MELISSA GRISSINGER, FNP appears in CMS Medicare data with 402 Part D claims and 140 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELISSA GRISSINGER, FNP's credentials?
MELISSA GRISSINGER, FNP's NPI is 1821099151 with credentials FNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology