Matthew J Grimm, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Gray, TN
NPI 1861015992 · NPPES record last updated Feb 4, 2021
Key facts
- NPI
- 1861015992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 27586 (TN)
- Practice address
- 2103 Forest Dr Ste 5
Gray, TN 37615-8423 - Phone
- (423) 794-3142
- Fax
- (423) 794-3184
- NPI assigned
- May 23, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Associated Pain Specialists, PC
Practice addresses (Care Compare)
2103 Forest Dr
Suite 5
Gray, TN 37615-8423
Phone (423) 794-3142
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.3 of 100
- Quality
- 45.77
- Improvement activities
- 40
- Cost
- 75.4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210209002722 | TN | Practitioner - Nurse Practitioner | 8527483858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Pain Specialists, PC | Current | Accepting new patients | |
| Associated Pain Specialists, PC | Current |
Accepting new patients | |
| Associated Pain Specialists, PC | Current |
Accepting new patients |
Locations
2103 Forest Dr
Ste 5
Gray, TN 37615
Phone (423) 477-2885
1326 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 219-3506
1342 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 219-3506
1907 W Morris Blvd
Ste A200
Morristown, TN 37813
Phone (423) 522-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27586 | TN | Yes |
Addresses
Primary practice location
2103 Forest Dr Ste 5
Gray, TN 37615-8423
Mailing address
1326 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 219-3506
Other practice location 1
1526 Bridgewater Ln
Kingsport, TN 37660-4106
Phone (423) 246-0033
Other practice location 2
1342 Papermill Pointe Way
Knoxville, TN 37909-1903
Phone (865) 673-5000
Other providers in Gray, TN
- Gray Family Healthcare PC
- Gray Medical Investors, LLC
- Gray Pharmacy
- Gray Station Dental PLLC
- Gray Station Neurology, PC
- Hall Family Chiropractic Center
- Ricky Hall
- Amanda D Hamby
- Elizabeth A Hamm
- Melinda Haskett
All providers in Gray, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.