Individual provider Active NPI

Amber Grim, CRNP

  • Family Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1497085674
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62857 Issued in WV
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

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100217000595 PA Practitioner - Nurse Practitioner 9133263957 Reassigns benefits to 2 organizations
I20141212001970 WV Practitioner - Nurse Practitioner 9133263957 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP010566PAMDFamily Nurse Practitioner
62857WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maezer, LLC Family CurrentSince Apr 25, 2025 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jan 5, 2015 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 5, 2024 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jan 5, 2015 Accepting new patients
West Virginia Emergency Physicians, LLP CurrentSince Mar 1, 2016 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

  • Direct secure messaging: amber.grim.1@30179.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.