Active NPI
Elissa Kathleen Grimm, CRNA
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 167936
- Practice address
- 145 Kimel Park Dr Ste 120
Winston Salem, NC 27103-6983 - Phone
- (336) 768-3212
- Fax
- (336) 768-9019
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 167936 | NC | Primary |
Addresses
Primary practice location
145 Kimel Park Dr Ste 120
Winston Salem, NC 27103-6983
Mailing address
145 Kimel Park Dr Ste 120
Winston Salem, NC 27103-6983
Phone (336) 768-3212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 215-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.75 of 100
- Quality
- 77.19
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 80.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Firsthealth of the Carolinas, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Piedmont Triad Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
145 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-1770
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 and National Provider Directory roles.
-
dba Montgomery Memorial Hospital Professional Services
- Certified Registered Nurse Anesthetist
- Troy, NC
- NPI 1053482596
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Winston Salem, NC
- NPI 1467497081
Nurse Anesthetist, Certified Registered
-
dba Moore Regional Hospital Professional Services
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1851477970
Nurse Anesthetist, Certified Registered
-
dba FirstHealth Weight Management Clinic
- Obesity Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1316626104
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1477748564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 KIMEL PARK DR STE 120",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036983",
"telephone_number": "336-768-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 KIMEL PARK DR STE 120",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036983",
"telephone_number": "336-768-3212",
"fax_number": "336-768-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "ELISSA",
"middle_name": "KATHLEEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "167936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.