Active NPI
Amber Grim, CRNP
- Family Nurse Practitioner
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 62857
- Practice address
- 10000 Coombs Farm Rd
Morgantown, WV 26508-1156 - Phone
- (304) 212-5663
- Fax
- (304) 936-0101
- NPI assigned
- Jan 11, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP010566 | PA | |
| Family Nurse Practitioner | 363LF0000X | 62857 | WV | Primary |
Addresses
Primary practice location
10000 Coombs Farm Rd
Morgantown, WV 26508-1156
Mailing address
10000 Coombs Farm Rd
Morgantown, WV 26508-1156
Phone (304) 212-5663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP010566 | PA | MD | Family Nurse Practitioner |
| 62857 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maezer, LLC | Family | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| West Virginia Emergency Physicians, LLP | Current | Accepting new patients |
Locations
75 Remit Dr
Chicago, IL 60675
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
10000 Coombs Farm Rd
Ste 106
Morgantown, WV 26508
Phone (304) 212-5663
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
Interoperability endpoints
- amber.grim.1@30179.direct.athenahealth.com
- agrim20682@gohealthupmc.direct-ci.com
Organizations & group practices 6
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.
-
- Family Nurse Practitioner
- Morgantown, WV
- NPI 1972211712
-
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1952776379
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
-
- Urgent Care Clinic/Center
- Latrobe, PA
- NPI 1063793685
-
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1497085674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 COOMBS FARM RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081156",
"telephone_number": "304-212-5663",
"fax_number": "304-936-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 COOMBS FARM RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081156",
"telephone_number": "304-212-5663",
"fax_number": "304-936-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIM",
"first_name": "AMBER",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP010566",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "62857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.