Mary A Grimmett, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024183978 Issued in VA

Practice address

12301 Grapefield Rd
Bastian, VA 24314-4547

Phone

(276) 688-4331

Fax

(276) 688-4336

NPI assigned

Dec 4, 2019

Last updated

Feb 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV, VA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bland County Medical Clinic IncGroup PAC ID 2264326453, 20 clinicians

State of West Virginia Welch Community HospitalGroup PAC ID 3375437585, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Welch Community Hospital Hospital, Welch, WV, CCN 510086

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgrimmett@blandclinic.net

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.

• Bland County Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bastian, VA
  • NPI 1104800671
  Medicare reassignment Care Compare group NPD
• Appalachian Mountains Medical, LLC

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1881023117
  Medicare reassignment NPD
• Bland County Medical Clinic, Inc.

  dba Orchard Creek Clinic

  • Federally Qualified Health Center (FQHC)
  • Bland, VA
  • NPI 1396496063
  NPD

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

• State of West Virginia Welch Community Hospital

  • General Acute Care Hospital
  • Welch, WV
  • NPI 1134158900
  Care Compare affiliation

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1194362657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4331",
            "fax_number": "276-688-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 GRAPEFIELD RD",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144547",
            "telephone_number": "276-688-4331",
            "fax_number": "276-688-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8494 S Scenic Hwy",
            "address_purpose": "LOCATION",
            "city": "Bland",
            "state": "VA",
            "postal_code": "243155255",
            "country_code": "US",
            "telephone_number": "276-688-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMMETT",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104795",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgrimmett@blandclinic.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12301 Grapefield Rd",
            "city": "Bastian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243144547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Bastian, VA
• Providers in Bastian, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.