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DANIELLE DRAKE GRIMM NP
NPI 1487902979
Nurse Practitioner - Obstetrics & Gynecology in Roxbury, MA

Active since August 15, 2012PECOS EnrolledAccepts Medicare Assignment
45 DIMOCK ST, ROXBURY, MA 02119(617) 442-8800(617) 541-8334 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Danielle Drake Grimm Np NPPES

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

DANIELLE DRAKE GRIMM NP (NPI 1487902979) is an individual obstetrics & gynecology provider in Roxbury, Massachusetts, licensed in Massachusetts (RN2274528) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1487902979
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameDANIELLE DRAKE GRIMMCredential: NP
Location Address45 DIMOCK STRoxbury, MA 02119-1208
Mailing Address55 Dimock StRoxbury, MA 02119-1029 · (617) 442-8800 · Fax (617) 541-8334
Phone(617) 442-8800
Fax(617) 541-8334
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 15, 2012
Last NPPES UpdateFebruary 25, 2020
✔ NPI 1487902979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in MA · RN2274528
45 DIMOCK ST, Roxbury, MA 02119
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Danielle Drake Grimm Np 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 ID4880813559
PECOS Enrollment IDI20140910002072
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 Reassignment

Medicare enrollment records show Danielle Grimm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dimock Community Health Center, Inc
Same address
Federally Qualified Health Center (FQHC)
45 DIMOCK ST
Roxbury, MA 02119
  • Reassigned Medicare billing, Massachusetts enrollment
  • 50 clinicians in this Medicare group
NPI 1588719488 (617) 442-8800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

SUSANA TEJADA D.M.D.
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DR. EMILY LAUREN KELLOGG MD
Obstetrics & Gynecology
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
SOFIA PELLON LCSW
Social Worker
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
HODA HAMED OD
Optometrist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
ASHLEY CORREIA
Social Worker (Clinical)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800
DARREN CHEW DPT
Physical Therapist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 445-0647
JUDANA SANDRA BENNETT
Nurse Practitioner (Psychiatric/Mental Health)
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 816-6505
DR. SELENA MARIA FRANCIS DMD
Dentist
45 DIMOCK ST
ROXBURY, MA 02119
Suffolk County (617) 442-8800

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 Danielle Grimm's NPI number?

The NPI number for Danielle Grimm is 1487902979. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Where is Danielle Grimm located?

Danielle Grimm practices at 45 Dimock St, Roxbury, MA 02119. The listed phone number is (617) 442-8800.

What is Danielle Grimm's specialty?

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

Is Danielle Grimm enrolled in Medicare?

Yes. Danielle 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.

Which organization bills Medicare for Danielle Grimm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Grimm reassigns Medicare benefits to Dimock Community Health Center, Inc (Roxbury, MA). The 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 Danielle Grimm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danielle Grimm was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.