Individual provider Active NPI

Cresencia Ancheta Grimm, MSNNHCECPANACNPCAG

  • Acute Care Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1306485008
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5012647 Issued in NC
Practice address
511 Paladin Dr
Greenville, NC 27834-7826
Phone
(252) 752-8880
Fax
(252) 317-2092
NPI assigned
Dec 27, 2019
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5012647 NC Primary
Adult Health Nurse Practitioner 363LA2200X 5012647 NC
Gerontology Nurse Practitioner 363LG0600X 5012647 NC

Addresses

Primary practice location

511 Paladin Dr
Greenville, NC 27834-7826

Mailing address

104 E Saddle LN
Havelock, NC 28532-2938
Phone (252) 646-4820

Other practice location 1

1302 Medical Center Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800

Other names 1

  • Cresencia Pastores Grimm Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200219000277 NC Practitioner - Nurse Practitioner 9638506355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (336) 251-1114

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5012647NCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA CurrentSince Oct 18, 2023 Accepting new patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Jan 21, 2020 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Oct 18, 2023 Accepting new patients

Locations

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

1302 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-9800

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 2

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": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1306485008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E SADDLE LN",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322938",
            "telephone_number": "252-646-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PALADIN DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347826",
            "telephone_number": "252-752-8880",
            "fax_number": "252-317-2092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017503",
            "country_code": "US",
            "telephone_number": "910-343-9800",
            "fax_number": "910-346-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "CRESENCIA",
        "middle_name": "ANCHETA",
        "credential": "MSNNHCECPANACNPCAG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5012647",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5012647",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5012647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRESENCIA",
            "last_name": "GRIMM",
            "middle_name": "PASTORES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.