Simonique Jessie-Allean Grissom
NPI 1710623012ActiveIndividual· Nurse Practitioner, Family· Denver, CO
Nurse Practitioner, Family with Hydr8 LLC and 1 other group, practicing in Denver, Colorado. Part D covered 116 prescriptions written in 2024, 84% of them generic.
Overview
| NPI | 1710623012 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 10, 2022 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APN.0997794-NP | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CO); Practitioner - Nurse Practitioner (NE) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 116 · 200 30-day fills |
|---|---|
| Patients | 36 |
| Total drug cost | $11,014 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Hydr8 LLCOmaha, NE · 19 clinicians
- 4g Enterprises LLCOmaha, NE · 18 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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