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JOHN GRIMES CRNP
NPI 1174956908
Nurse Practitioner - Acute Care in Guntersville, AL

Active since August 15, 2013PECOS Enrolled
7938 AL HWY 69, SUITE 100, GUNTERSVILLE, AL 35976(256) 571-8445(256) 571-8447 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John Grimes Crnp NPPES

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

JOHN GRIMES CRNP (NPI 1174956908) is an individual acute care provider in Guntersville, Alabama, licensed in Alabama (1-083810) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174956908
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOHN GRIMESCredential: CRNP
Location Address7938 AL HWY 69, SUITE 100Guntersville, AL 35976
Mailing Address211 Ohara Dr, Apt/suiteAlbertville, AL 35950-2597 · (256) 293-8141
Phone(256) 571-8445
Fax(256) 571-8447
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 15, 2013
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1174956908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AL · 1-083810
7938 AL HWY 69, Guntersville, AL 35976
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Grimes Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092941609
PECOS Enrollment IDI20131203001329
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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Grimes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marshall Medical Center South Manganaris Pulmonology
0.6 mi
Pulmonary Disease
55 ROWE DR, SUITE C
Guntersville, AL 35976
  • Reassigned Medicare billing, Alabama enrollment
  • 7 clinicians in this Medicare group
NPI 1013299304 (256) 753-8810
North Alabama Specialty Hospital
26 mi
Long Term Care Hospital
107 GOVERNORS DR SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 23 clinicians in this Medicare group
NPI 1942693973 (256) 817-9350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
187 services167 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
183 services124 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35976 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 16

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$114.60 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers20 claims20 services$73.44 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers33 claims33 services$23.05 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers25 claims25 services$21.42 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers26 claims100 services$3.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers43 claims44 services$18.22 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

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

PREMIER ORTHOPEDIC SURGERY, INC.
Orthopaedic Surgery
7938 AL HWY 69, SUITE 100
GUNTERSVILLE, AL 35976
Marshall County (256) 571-8445

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 John Grimes's NPI number?

The NPI number for John Grimes is 1174956908. It was assigned to this individual provider in the NPPES registry on August 15, 2013.

Where is John Grimes located?

John Grimes practices at 7938 Al Hwy 69 Suite 100, Guntersville, AL 35976. The listed phone number is (256) 571-8445.

What is John Grimes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Grimes enrolled in Medicare?

Yes. John Grimes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Grimes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Grimes reassigns Medicare benefits to 2 organizations: Marshall Medical Center South Manganaris Pulmonology (Guntersville, AL) and North Alabama Specialty Hospital (Huntsville, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Grimes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Grimes accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list John Grimes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Grimes was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.