NICHOLE SUZANNE GRIMM (NP) – Family Nurse Practitioner, NPI 1669756813
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for NICHOLE SUZANNE GRIMM (NP)
30544 HIGHWAY 200
STE 102
PONDERAY, ID 838525005
Phone: (208) 263-6300
Fax: (208) 263-6355
Type: Mailing
PO BOX 1343
SANDPOINT, ID 838640863
Phone: (208) 263-1441
Type: Mailing
423 N 3RD AVE STE 201
SANDPOINT, ID 838641511
Phone: (208) 263-2221
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $179.
Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Exact Sciences Corporation ($48).
Total Amount
$179
General + Research + Ownership
Payments
8
Total payment records
General Amount
$179
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $48 |
| Amgen Inc. | $41 |
| ATRICURE, INC. | $32 |
| Lilly USA, LLC | $20 |
| Teva Pharmaceuticals USA, Inc. | $20 |
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: 2011-12-14
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 |
|---|---|---|---|---|
| I20111214000784 | I | Nurse Practitioner | ID | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 120 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 35 | $0 |
| 81003 | Automated urinalysis test | 27 | 15 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 27 | 22 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 27 | 27 | $0 |
Insurance plans in this area (ZIP 83852)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Orthopedic Surgery | ID | |
| Family Practice | WA | |
| Diagnostic Radiology | ID | |
| Internal Medicine | ID | |
| - | ID |
Reviews
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