SAMANTHA GRIMES NP
NPI 1639876519
Nurse Practitioner in Edgewood, KY

Q: What is Samantha Grimes's NPI number?

The NPI number for Samantha Grimes is 1639876519. It was assigned to this individual provider in the NPPES registry on February 13, 2023. The provider is also known as Samantha Malone.

Q: What is Samantha Grimes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Grimes was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 13, 2023PECOS EnrolledAccepts Medicare Assignment

1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-5652 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Samantha Grimes Np NPPES

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

SAMANTHA GRIMES NP (NPI 1639876519) is an individual nurse practitioner in Edgewood, Kentucky, licensed in Kentucky (4000479) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639876519

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSAMANTHA GRIMESCredential: NP

Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-5652

Phone(859) 301-5652

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 13, 2023

Last NPPES UpdateMarch 22, 2024

NPPES CertifiedMarch 14, 2023

✔ NPI 1639876519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KY · 4000479✔ Licensed in OH · APRN.CNP.0030543

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.

1 MEDICAL VILLAGE DR, Edgewood, KY 41017

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Other Names 1

Former Name (1)Samantha Malone

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Samantha Grimes 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 ID7618317843

PECOS Enrollment IDI20240503002890

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.

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

CARA LINDSAY HANSEN CRNA

Nurse Anesthetist, Certified Registered