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HALEY TRIVETTE GRIMM FNP
NPI 1609759992
Nurse Practitioner in Clemmons, NC

Active since July 26, 2025PECOS EnrolledAccepts Medicare Assignment
6301 STADIUM DR, CLEMMONS, NC 27012(336) 428-6630 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2026, Oct 8, 2025, Sep 11, 2025 (3 updates tracked since 2025).

About Haley Trivette Grimm Fnp NPPES

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

HALEY TRIVETTE GRIMM FNP (NPI 1609759992) is an individual nurse practitioner in Clemmons, North Carolina, licensed in North Carolina (5022828) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609759992
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHALEY TRIVETTE GRIMMCredential: FNP
Location Address6301 STADIUM DRClemmons, NC 27012-8766
Mailing Address6301 Stadium Dr Ste 500Clemmons, NC 27012-8766 · (336) 766-6473 · Fax (336) 766-8909
Phone(336) 428-6630
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 26, 2025
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1609759992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5022828
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6301 STADIUM DR, Clemmons, NC 27012
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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

Haley Trivette Grimm Fnp 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 ID244721132
PECOS Enrollment IDI20251119000057
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27012 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 14

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

KIRK A. TURNER, DDS, PA
Dentist (General Practice)
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-9111
DR. KIRK A TURNER DDS
Dentist (General Practice)
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-9111
TERRY MICHAEL DEAKLE PA
Physician Assistant
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-6473
CHRISTOPHER ANDREW MADDEN M.D.
Internal Medicine
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-6473
DR. ALEXANDER ROWAN CRAVER D.D.S.
Dentist
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-9111
DR. CARMEN TABRIELLE ROBINSON M.D.
Family Medicine
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-6473
DEBORAH H POLLOCK MD
Family Medicine
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-6473
WALTER H WRAY MD
Family Medicine
6301 STADIUM DR
CLEMMONS, NC 27012
Forsyth County (336) 766-6473

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 Haley Grimm's NPI number?

The NPI number for Haley Grimm is 1609759992. It was assigned to this individual provider in the NPPES registry on July 26, 2025.

Where is Haley Grimm located?

Haley Grimm practices at 6301 Stadium Dr, Clemmons, NC 27012. The listed phone number is (336) 428-6630.

What is Haley Grimm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Haley Grimm enrolled in Medicare?

Yes. Haley 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.

Is Haley Grimm affiliated with any hospitals?

According to CMS data, Haley Grimm is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Haley Grimm was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.