Individual provider Active NPI

Sara L Grimes, FNP

  • Family Nurse Practitioner
  • Portage, WI
National Provider Identifier
1053051318
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16345 Issued in WI
Practice address
2977 County Road CX
Portage, WI 53901-9271
Phone
(608) 745-3399
NPI assigned
Apr 1, 2022
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012441A IN
Family Nurse Practitioner 363LF0000X 16345 WI Primary

Addresses

Primary practice location

2977 County Road CX
Portage, WI 53901-9271

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

811 W 50 N
Rockville, IN 47872-7048
Phone (765) 569-3178 ext. 471

Other identifiers 1

IdentifierTypeStateIssuer
71012441AOtherINSBON LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgrimes8265168@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250128000841 WI Practitioner - Nurse Practitioner 6103355789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71012441AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 3, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 3, 2025 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

2977 Cty Cx
Portage, WI 53901
Phone (608) 742-3004

Organizations & group practices 3

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 3

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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1053051318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 COUNTY ROAD CX",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019271",
            "telephone_number": "608-745-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 W 50 N",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "IN",
            "postal_code": "478727048",
            "country_code": "US",
            "telephone_number": "765-569-3178 x471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "SARA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012441A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "16345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SBON LICENSE",
            "identifier": "71012441A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgrimes8265168@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2977 County Road Cx",
            "city": "Portage",
            "state": "WI",
            "country_code": "US",
            "postal_code": "539019271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

Verify at the official NPI Registry.