MARY LISA GRIMMER
NPI 1629708243
Counselor - Mental Health in Fort Myers, FL
About Mary Lisa Grimmer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY LISA GRIMMER (NPI 1629708243) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (MH11345) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mary Lisa Grimmer 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Grimmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Naples, FL 34109
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mary Grimmer's NPI number?
The NPI number for Mary Grimmer is 1629708243. It was assigned to this individual provider in the NPPES registry on June 15, 2022.
Where is Mary Grimmer located?
Mary Grimmer practices at 7235 Maida Ln Apt 5C, Fort Myers, FL 33908. The listed phone number is (239) 410-7559.
What is Mary Grimmer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Grimmer enrolled in Medicare?
Yes. Mary Grimmer 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 Mary Grimmer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Grimmer reassigns Medicare benefits to Florida Coast Counseling LLC (Naples, FL). 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 Mary Grimmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Grimmer accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Mary Grimmer 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 Mary Grimmer was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mary Lisa Grimmer · NPI 1629708243
Mental Health provider in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since June 15, 2022.
## Identity
- **NPI:** 1629708243 (Entity type: Individual)
- **Enumerated:** June 15, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH11345 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7235 MAIDA LN APT 5C, Fort Myers, FL 33908-4203
- **Phone:** (239) 410-7559
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Florida Coast Counseling LLC (NPI 1457122038, Naples, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629708243) · Data from the CMS NPPES public registry.