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MS. GEORGINA GISELLE GRIMM FNP
NPI 1104367739
Nurse Practitioner - Family in Oakland, CA

Active since March 15, 2017PECOS EnrolledAccepts Medicare Assignment
9925 INTERNATIONAL BLVD, #5, OAKLAND, CA 94603(510) 777-1177(510) 550-2644 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Georgina Giselle Grimm Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. GEORGINA GISELLE GRIMM FNP (NPI 1104367739) is an individual family provider in Oakland, California, licensed in California (95006100) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104367739
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. GEORGINA GISELLE GRIMMCredential: FNP
Location Address9925 INTERNATIONAL BLVD, #5Oakland, CA 94603-2558
Mailing Address5018 Shafter AveOakland, CA 94609-2221 · (510) 388-3261
Phone(510) 777-1177
Fax(510) 550-2644
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 15, 2017
✔ NPI 1104367739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95006100
9925 INTERNATIONAL BLVD, Oakland, CA 94603
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Georgina Giselle Grimm Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799055596
PECOS Enrollment IDI20170727001553
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
62 services44 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
60 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers38 claims109 services$3.45 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers21 claims21 services$43.88 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$94.46 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers12 claims27 services$42.72 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers19 claims113 services$25.51 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers14 claims84 services$19.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYNOUN RIN
Community Health Worker
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-1177
KYE DUREN
Case Management
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 777-1177
ANDREW THOMAS SANTANIELLO APCC
Counselor (Mental Health)
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 916-5815
CENTER FOR FAMILY COUNSELING
Community/Behavioral Health
9925 INTERNATIONAL BLVD, 6
OAKLAND, CA 94603
Alameda County (510) 562-3731
ROOTS COMMUNITY HEALTH CENTER
Clinic/Center (Primary Care)
9925 INTERNATIONAL BLVD, #5
OAKLAND, CA 94603
Alameda County (510) 777-1177
LATRINA DUMAS
Case Manager/Care Coordinator
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 916-0430
TAVARE WILLIAMS SR.
Case Manager/Care Coordinator
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 998-8303
EBONIQUE BARBER
Student in an Organized Health Care Education/Training Program
9925 INTERNATIONAL BLVD
OAKLAND, CA 94603
Alameda County (510) 916-1761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgina Grimm's NPI number?

The NPI number for Georgina Grimm is 1104367739. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Where is Georgina Grimm located?

Georgina Grimm practices at 9925 International Blvd #5, Oakland, CA 94603. The listed phone number is (510) 777-1177.

What is Georgina Grimm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Georgina Grimm enrolled in Medicare?

Yes. Georgina Grimm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Georgina Grimm was last updated on March 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.