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GWENDOLYN GRIMES
NPI 1346265923
Nurse Practitioner - Gerontology in Mckinney, TX

Active since July 13, 2006PECOS Enrolled
4801 VIRGINIA WOODS DR, MCKINNEY, TX 75071(972) 369-1235 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Gwendolyn Grimes NPPES

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

GWENDOLYN GRIMES (NPI 1346265923) is an individual gerontology provider in Mckinney, Texas, licensed in Texas (686148) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346265923
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameGWENDOLYN GRIMES
Location Address4801 VIRGINIA WOODS DRMckinney, TX 75071-6459
Mailing Address4801 Virginia Woods DrMckinney, TX 75071-6459
Phone(972) 369-1235
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346265923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 686148
4801 VIRGINIA WOODS DR, Mckinney, TX 75071
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Other Identifiers 1

Medicare UPINS69217TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
287 services35 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
67 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Gwendolyn Grimes's NPI number?

The NPI number for Gwendolyn Grimes is 1346265923. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Gwendolyn Grimes located?

Gwendolyn Grimes practices at 4801 Virginia Woods Dr, Mckinney, TX 75071. The listed phone number is (972) 369-1235.

What is Gwendolyn Grimes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Gwendolyn Grimes enrolled in Medicare?

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

What insurance does Gwendolyn Grimes accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Gwendolyn 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 Gwendolyn Grimes was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.