Nichole Suzanne Grimm, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-1113A Issued in ID

Practice address

423 N 3Rd Ave Ste 201
Sandpoint, ID 83864-1511

Phone

(208) 263-2221

NPI assigned

Oct 6, 2011

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bonner General Hospital IncGroup PAC ID 4082690466, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health Home health agency, Ponderay, ID, CCN 137122
• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
• Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.223001

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Medicare reassignment Care Compare group NPD
• Michael R Dibenedetto MD PLLC

  dba North Idaho Cardiac Rehabilitation

  • Orthopaedic Surgery Physician
  • Ponderay, ID
  • NPI 1083809727
  Medicare reassignment
• Bonner General Hospital, Inc

  dba Bonner General Orthopedics

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sandpoint, ID
  • NPI 1982060984
  NPD
• Bonner General Hospital, Inc

  dba Sandpoint Womens Health

  • Gynecology Physician
  • Sandpoint, ID
  • NPI 1992069454
  NPD (past)
• Bonner General Hospital, Inc.

  dba Bonner General Family and Internal Medicine

  • Family Medicine Physician
  • Sandpoint, ID
  • NPI 1033737887
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation
• Eden Home Health of Sandpoint, LLC

  dba Eden Home Health

  • Home Health Agency
  • Ponderay, ID
  • NPI 1346898830
  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Multi-Specialty Clinic/Center
  • St Maries, ID
  • NPI 1093674301

  Hospital

  Care Compare affiliation
• North Idaho Day Surgery LLC

  dba Northwest Specialty Hospital

  • General Acute Care Hospital
  • Post Falls, ID
  • NPI 1104824739
  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Post Falls, ID
  • NPI 1649123589

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1669756813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640863",
            "telephone_number": "208-263-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N 3RD AVE STE 201",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641511",
            "telephone_number": "208-263-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "NICHOLE",
        "middle_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1113A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kathleen Gray, LPC
• Greenway Corporation (Pend Oreille Chiropractic)
• Geoffrey David Greenway, DC
• Kelly Greenway, FNTP, MRWP
• Perry E Grey Harper, PSY.D.
• Eleanor Rand Gurley, LCSW
• Mary Gustafik, LPC
• Jane Frances Habermann, MA
• Terri L Haley, O.D.
• Annette C. Hall, LCSW

• Family Nurse Practitioner in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.