Jennifer L Grim
Individual provider Active NPI Family Nurse Practitioner · Willow Street, PA
NPI 1407370356 · NPPES record last updated Mar 21, 2024
Key facts
- NPI
- 1407370356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP017534 (PA)
- Practice address
- 2605 Willow Street Pike N
Willow Street, PA 17584-9510 - Phone
- (717) 464-2838
- Fax
- (717) 464-3812
- NPI assigned
- Aug 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20170925001591 | PA | Practitioner - Nurse Practitioner | 3274807698 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| Tower Health Medical Group | Current |
Accepting new patients | |
| Phoenixville Clinic Company LLC | Current |
Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Pottstown Clinic Company LLC | Current |
Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current |
Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| Tower Health Medical Group | Current |
Accepting new patients | |
| Phoenixville Clinic Company LLC | Current |
Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current |
Accepting new patients | |
| Reading Behavioral Healthcare, LLC | Current |
Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients |
Locations
4140 Oregon Pike
Ephrata, PA 17522
Phone (717) 544-3400
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835
1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485
201 Wellness Way
Reading, PA 19605
Phone (484) 339-6037
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Interoperability endpoints
- https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017534 | PA | Yes |
Addresses
Primary practice location
2605 Willow Street Pike N
Willow Street, PA 17584-9510
Mailing address
2605 Willow Street Pike N
Willow Street, PA 17584-9510
Phone (717) 464-2838
Other providers in Willow Street, PA
- Tama Goodman
- Richard Albert Graff Jr.
- Greiner Spine and Sports Physical Therapy
- Timothy J Greiner
- Taylor Grenier
- Grow With Me SLP LLC
- Patricia Grubb
- Barry D Hazen
- Ojoma Edeh Herr
- Kerry Herrmann
All providers in Willow Street, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.