Active NPI
Michelle Grimes, FNP
- Family Nurse Practitioner
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017003913
- Practice address
- 472 N Highway 67 St
Florissant, MO 63031-5102 - Phone
- (314) 343-5061
- NPI assigned
- Jan 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 109025 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2017003913 | MO | Primary |
Addresses
Primary practice location
472 N Highway 67 St
Florissant, MO 63031-5102
Mailing address
PO Box 740019
Atlanta, GA 30374-0019
Phone (312) 733-9730
Other practice location 1
4919 Jamestowne Ridge Ct
Black Jack, MO 63033-4554
Phone (636) 789-1499
Other practice location 2
1551 Wall St Ste 110
Saint Charles, MO 63303-3540
Phone (636) 493-9601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
472 N Hwy 67 St
Florissant, MO 63031-5102
Phone (314) 967-1465
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of Missouri, LLC | Family | Current | Accepting new patients |
Locations
472 N Highway 67 St
Florissant, MO 63031
Phone (314) 343-5061
16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000
3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Saint Louis, MO
- NPI 1669041760
Family
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1528503380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740019",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740019",
"telephone_number": "312-733-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 N HIGHWAY 67 ST",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630315102",
"telephone_number": "314-343-5061"
}
],
"practiceLocations": [
{
"address_1": "4919 Jamestowne Ridge Ct",
"address_purpose": "LOCATION",
"city": "Black Jack",
"state": "MO",
"postal_code": "630334554",
"country_code": "US",
"telephone_number": "636-789-1499",
"fax_number": "314-293-6748",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1551 Wall St Ste 110",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633033540",
"country_code": "US",
"telephone_number": "636-493-9601",
"fax_number": "314-293-6748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIMES",
"first_name": "MICHELLE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-03",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "109025",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017003913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
- 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.