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JENNA EMILY GRIMM LNP
NPI 1184936908
Nurse Practitioner - Obstetrics & Gynecology in Fairfax, VA

Active since July 09, 2010PECOS EnrolledAccepts Medicare Assignment
10521 ROSEHAVEN ST, SUITE LL 100, FAIRFAX, VA 22030(703) 281-5000(703) 281-3491 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2021, Aug 16, 2021, Jul 19, 2021 and 3 more (6 updates tracked since 2018).

About Jenna Emily Grimm Lnp NPPES

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

JENNA EMILY GRIMM LNP (NPI 1184936908) is an individual obstetrics & gynecology provider in Fairfax, Virginia, licensed in Virginia (0024168872) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ashburn, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184936908
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameJENNA EMILY GRIMMCredential: LNP
Location Address10521 ROSEHAVEN ST, SUITE LL 100Fairfax, VA 22030-2837
Mailing Address20925 Professional Plz Ste 230Ashburn, VA 20147-3403 · (703) 621-7121 · Fax (703) 665-7686
Phone(703) 281-5000
Fax(703) 281-3491
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 9, 2010
Last NPPES UpdateSeptember 17, 20216 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2021
✔ NPI 1184936908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in VA · 0024168872
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 0024168872 (VA)
10521 ROSEHAVEN ST, Fairfax, VA 22030
Open in Google Maps ↗

Secondary Practice Location 1

Location 120925 Professional Plz Ste 230Ashburn, VA 20147-3403 · Phone (703) 621-7121

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

Jenna Emily Grimm Lnp 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 ID6305006156
PECOS Enrollment IDI20221216002466
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 7

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

DR. THOMAS E SCHMITT M. D.
Obstetrics & Gynecology
10521 ROSEHAVEN ST, LL 100
FAIRFAX, VA 22030
Fairfax City (703) 281-5007
MRS. MICHELLE KELLY FUNK WHNP-BC
Nurse Practitioner (Women's Health)
10521 ROSEHAVEN ST
FAIRFAX, VA 22030
Fairfax City (703) 281-5000
KIERSTIN MIREKU
Physical Therapist
10521 ROSEHAVEN ST, # 150 LL
FAIRFAX, VA 22030
Fairfax City (703) 383-1616
KAITLYN RAE KELLERMEYER
Social Worker (Clinical)
10521 ROSEHAVEN ST
FAIRFAX, VA 22030
Fairfax City (703) 352-3822
KATHERINE ELIZABETH GILINSKY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
10521 ROSEHAVEN ST
FAIRFAX, VA 22030
Fairfax City (703) 650-0636
DR. SAMUEL OLIVER GRIMM III M.D.
Obstetrics & Gynecology
10521 ROSEHAVEN ST, SUITE LL 100
FAIRFAX, VA 22030
Fairfax City (703) 281-5000
PROGENIX LLC
Durable Medical Equipment & Medical Supplies
10521 ROSEHAVEN ST, SUITE 180
FAIRFAX, VA 22030
Fairfax City (703) 383-0435

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 Jenna Grimm's NPI number?

The NPI number for Jenna Grimm is 1184936908. It was assigned to this individual provider in the NPPES registry on July 9, 2010.

Where is Jenna Grimm located?

Jenna Grimm practices at 10521 Rosehaven St Suite Ll 100, Fairfax, VA 22030. The listed phone number is (703) 281-5000.

What is Jenna Grimm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Jenna Grimm enrolled in Medicare?

Yes. Jenna 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 Jenna Grimm was last updated on September 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.