Individual provider Active NPI

Dawn Grimaldi, FNP-BC

  • Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1043031420
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN277350 Issued in MA
Practice address
300 Stafford St Ste 154
Springfield, MA 01104-3583
Phone
(413) 748-7095
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN277350 MA Primary

Addresses

Primary practice location

300 Stafford St Ste 154
Springfield, MA 01104-3583

Mailing address

8 Leaview Dr
Westfield, MA 01085-1828
Phone (413) 433-2768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113000555 MA Practitioner - Nurse Practitioner 6608304118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Medical Ctr Dr
Suite 410
Springfield, MA 01107-1273
Phone (413) 748-7095

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN277350MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Valley Cardiology Associates ,Inc. CurrentSince Jan 1, 2025 Accepting new patients
Pioneer Valley Cardiology Associates, Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

2 Medical Center Dr
Ste 410
Springfield, MA 01107
Phone (413) 781-5735

2 Medical Center Dr
Ste 510
Springfield, MA 01107

300 Stafford St
Ste 154
Springfield, MA 01104
Phone (413) 732-1928

Interoperability endpoints

  • Direct secure messaging: dgrimaldi2376750@direct.trinity-health.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1043031420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LEAVIEW DR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851828",
            "telephone_number": "413-433-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STAFFORD ST STE 154",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043583",
            "telephone_number": "413-748-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN277350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.