AMOS RICHARD GRIM (NP) – Psychiatry Physician, NPI 1013408806
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,273 NURSE PRACTITIONER in DE
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Provider Addresses for AMOS RICHARD GRIM (NP)
292, Carter Drive, Middletown, New Castle County, Delaware, 19709, United States
MIDDLETOWN, DE 197095846
Phone: (302) 449-0710
Type: Mailing
415 MEDICAL DR STE D101
BOUNTIFUL, UT 840108905
Phone: (801) 683-1062
Type: Mailing
370 E South Temple Ste 175
Slc, UT 841111241
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Location
327 W Gordon Ave Ste 2
Layton, UT 840412381
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Location
415 Medical Dr Ste D101
Bountiful, UT 840108905
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Location
415 Medical Dr Ste A101
Bountiful, UT 840104995
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Location
5974 FASHION POINT DR STE 140
SOUTH OGDEN, UT 844034838
Phone: (801) 683-1062
Fax: (801) 295-5537
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201223000942 | I | Nurse Practitioner | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19709)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Physician Assistant | MI | |
| Clinical Social Worker | UT | |
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| P S Y C H I A T R Y | UT | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | UT | |
| Physician Assistant | UT |
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