MARY LISA GRIMMER
NPI 1629708243
Counselor - Mental Health in Fort Myers, FL

Active since June 15, 2022PECOS EnrolledAccepts Medicare Assignment
7235 MAIDA LN APT 5C, FORT MYERS, FL 33908(239) 410-7559 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1629708243
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY LISA GRIMMER
Location Address7235 MAIDA LN APT 5CFort Myers, FL 33908-4203
Mailing Address7235 Maida Ln Apt 5cFort Myers, FL 33908-4203 · (239) 410-7559
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 15, 2022
NPPES CertifiedJune 15, 2022
NPI 1629708243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH11345
7235 MAIDA LN APT 5C, Fort Myers, FL 33908

Accepted Insurance

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

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.

PECOS PAC ID4688194939
PECOS Enrollment IDI20250218000657
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.

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.

What insurance does Mary Grimmer accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), 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.