Individual provider Active NPI

Sarah Grove, FNP-C

  • Family Nurse Practitioner
  • Bear, DE
National Provider Identifier
1073016143
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG0001137 Issued in DE
Practice address
404 Fox Hunt Dr
Bear, DE 19701
Phone
(302) 652-2455
Fax
(302) 322-6251
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG0001137 DE
Family Nurse Practitioner 363LF0000X R205619 MD
Family Nurse Practitioner 363LF0000X LG0001137 DE Primary

Addresses

Primary practice location

404 Fox Hunt Dr
Bear, DE 19701

Mailing address

PO Box 151
New Castle, DE 19720-0151
Phone (302) 652-2455

Other practice location 1

1802 W 4th St
Wilmington, DE 19805-3420
Phone (302) 655-5822

Other names 1

  • Sarah Marie Grimm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180518000568 DE Practitioner - Nurse Practitioner 7517222797 Reassigns benefits to 1 organization
I20221228001577 DC Practitioner - Nurse Practitioner 7517222797
I20221228001860 MD Practitioner - Nurse Practitioner 7517222797 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R205619MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Healthcare, Inc. Current Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Dec 10, 2022 Accepting new patients
Westside Family Healthcare, Inc CurrentSince Jul 9, 2018 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Dec 10, 2022 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Dec 10, 2022 Accepting new patients

Locations

404 Foxhunt Dr
Bear, DE 19701
Phone (302) 832-8331

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270

1101 Opal Ct
Ste 301
Hagerstown, MD 21740
Phone (240) 329-9033

601 7th St
Ste 304
Laurel, MD 20707
Phone (410) 220-0280

40 York Rd
Ste 201
Towson, MD 21204
Phone (410) 220-0780

Interoperability endpoints

  • Direct secure messaging: sarah.grove.1@24435.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1073016143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197200151",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 FOX HUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "19701",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053420",
            "country_code": "US",
            "telephone_number": "302-655-5822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVE",
        "first_name": "SARAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0001137",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R205619",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0001137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GRIMM",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.