MR. JEFFREY GRIMM NP-C
NPI 1497073936
Nurse Practitioner - Adult Health in Portland, OR

Q: What is Jeffrey Grimm's NPI number?

The NPI number for Jeffrey Grimm is 1497073936. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Q: What is Jeffrey Grimm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: Is Jeffrey Grimm enrolled in Medicare?

No. Jeffrey Grimm has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Grimm was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 07, 2010Opted out of Medicare · through Apr 1, 2028

1741 NW 24TH AVE, PORTLAND, OR 97210(971) 770-1655(844) 364-2677 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Jeffrey Grimm Np-c NPPES

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

MR. JEFFREY GRIMM NP-C (NPI 1497073936) is an individual adult health provider in Portland, Oregon, licensed in Oregon (201050059NP) and active in the NPI registry since May 2010. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1497073936

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. JEFFREY GRIMMCredential: NP-C

Location Address1741 NW 24TH AVEPortland, OR 97210

Mailing Address1741 Nw 24th AvePortland, OR 97210 · (971) 770-1655 · Fax (844) 364-2677

Phone(971) 770-1655

Fax(844) 364-2677

Sole ProprietorYes

Enumeration DateMay 7, 2010

Last NPPES UpdateApril 9, 2018

✔ NPI 1497073936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in OR · 201050059NP

1741 NW 24TH AVE, Portland, OR 97210

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Secondary Practice Location 1

Location 11759 NW 24TH AVEPortland, OR 97210 · Phone (971) 770-1655 · Fax (844) 364-2677

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jeffrey Grimm Np-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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 2

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

MEGAN S BARNETT MS, CNS

Nutritionist

1741 NW 24TH AVE
PORTLAND, OR 97210

Multnomah County (971) 770-1655

TARA L MCCOY

Nutritionist

1741 NW 24TH AVE
PORTLAND, OR 97210

Multnomah County (715) 505-8800

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 Jeffrey Grimm's NPI number?

The NPI number for Jeffrey Grimm is 1497073936. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Where is Jeffrey Grimm located?

Jeffrey Grimm practices at 1741 NW 24th Ave, Portland, OR 97210. The listed phone number is (971) 770-1655.

What is Jeffrey Grimm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jeffrey Grimm enrolled in Medicare?

No. Jeffrey Grimm has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Grimm was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.