Wendy P. Grim, APRN-FNP
Individual provider Active NPI Nurse Practitioner · Dillon, MT
NPI 1255037263 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1255037263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 212533 (MT)
- Practice address
- 41 Barrett St
Dillon, MT 59725-3508 - Phone
- (406) 683-4440
- NPI assigned
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Butte Silver Bow Primary Health Care Clinic Inc
Practice addresses (Care Compare)
125 E Glendale St
Dillon, MT 59725-2505
Phone (406) 496-6000
Hospital & facility affiliations
- Barrett Hospital & Healthcare
- St James Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230223001038 | MT | Practitioner - Nurse Practitioner | 2961875851 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212533 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butte Silver Bow Primary Health Care Clinic Inc | Current |
Accepting new patients | |
| Butte Silver Bow Primary Health Care Clinic Inc | Current | Accepting new patients | |
| Butte Silver Bow Primary Health Care Clinic Inc | Current |
Accepting new patients | |
| Butte Silver Bow Primary Health Care Clinic Inc | Past | Accepting new patients |
Locations
445 Centennial Ave
Butte, MT 59701
Phone (406) 723-4075
125 E Glendale St
Dillon, MT 59725
Phone (406) 683-2316
41 Barrett St
Dillon, MT 59725
Phone (406) 683-4440
Interoperability endpoints
- wgrim620816@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 212533 | MT | Yes |
Addresses
Primary practice location
41 Barrett St
Dillon, MT 59725-3508
Mailing address
51 Old Cabin TRL
Sheridan, MT 59749-9000
Phone (208) 681-8288
Other providers in Dillon, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.