JENNA EMILY GRIMM (LNP) – Obstetrics & Gynecology Nurse Practitioner, NPI 1184936908
Obstetrics & Gynecology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for JENNA EMILY GRIMM (LNP)
20925 PROFESSIONAL PLZ STE 230
ASHBURN, VA 201473403
Phone: (703) 621-7121
Fax: (703) 665-7686
Type: Mailing
10521 ROSEHAVEN ST
SUITE LL 100
FAIRFAX, VA 220302837
Phone: (703) 281-5000
Fax: (703) 281-3491
Type: Location
8110 MAPLE LAWN BLVD STE 235
FULTON, MD 207592694
Phone: (301) 340-8339
Fax: (301) 340-9027
Type: Mailing
20925 Professional Plz Ste 230
Ashburn, VA 201473403
Phone: (703) 621-7121
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: 2022-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120402000326 | I | Nurse Practitioner | DC | TBD |
| I20221216002466 | I | Nurse Practitioner | VA | 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 20147)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Nurse Practitioner | VA | |
| Certified Clinical Nurse Specialist (Cns) | MA | |
| - | VA | |
| Mental Health Counselor | VA | |
| P S Y C H I A T R Y | MI | |
| Nurse Practitioner | VA | |
| Mental Health Counselor | VA | |
| - | VA | |
| - | VA |
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