Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Amber Nicole Grissom, DNP, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1689177867

Dr. Amber Nicole Grissom, DNP, AGNP-C is a Nurse Practitioner in Bangor, Maine. Qualified in 2017, 9 years ago. Practices with Convenientmd LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
9
Licensed in
ME
In the registry since
2018
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

689 Broadway
Bangor, ME 04401-3366
Phone: (207) 744-8424
Fax: (207) 744-8425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence CNP201287 (ME)

Record details

NPI number1689177867
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , AGNP-C
Sole proprietorNo
NPI enumeratedMarch 14, 2018
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Convenientmd Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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