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CHALLIS AMANDA BEVEN GRIMM ARNP
NPI 1659655074
Nurse Practitioner - Family in Lake Mary, FL

Active since October 04, 2011PECOS EnrolledAccepts Medicare Assignment
917 RINEHART RD, SUITE 2041, LAKE MARY, FL 32746(407) 804-6133(321) 283-4332 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Challis Amanda Beven Grimm Arnp NPPES

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

CHALLIS AMANDA BEVEN GRIMM ARNP (NPI 1659655074) is an individual family provider in Lake Mary, Florida, licensed in Florida (ARNP9176451) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1659655074
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHALLIS AMANDA BEVEN GRIMMCredential: ARNP
Location Address917 RINEHART RD, SUITE 2041Lake Mary, FL 32746-4802
Mailing Address3481 Cornell TerDeltona, FL 32738-1250
Phone(407) 804-6133
Fax(321) 283-4332
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 4, 2011
Last NPPES UpdateMay 18, 2026
NPPES CertifiedMay 18, 2026
✔ NPI 1659655074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9176451
917 RINEHART RD, Lake Mary, FL 32746
Open in Google Maps ↗

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

Challis Amanda Beven Grimm Arnp 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 ID7810125614
PECOS Enrollment IDI20140123001562
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 15

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

MRS. LINDSAY PALMER STOUFFER C. PED
Durable Medical Equipment & Medical Supplies
917 RINEHART RD, STE. 2001
LAKE MARY, FL 32746
Seminole County (407) 956-3553
DR. JACOB BARTOSZEK D.P.M.
Podiatrist (Foot & Ankle Surgery)
917 RINEHART RD, SUITE 1051
LAKE MARY, FL 32746
Seminole County (321) 397-2699
DR. KALYANI GADDIPATI M.D.
Internal Medicine (Gastroenterology)
917 RINEHART RD, SUITE 2051
LAKE MARY, FL 32746
Seminole County (407) 936-2444
ELITE HOMECARE SOLUTIONS LLC
Home Health
917 RINEHART RD, SUITE 1051
LAKE MARY, FL 32746
Seminole County (407) 647-2346
KALYANI GADDIPATI MD PL
Internal Medicine (Gastroenterology)
917 RINEHART RD, SUITE 2051
LAKE MARY, FL 32746
Seminole County (407) 936-2444
ALLIANCE SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
917 RINEHART RD, SUITE 1001
LAKE MARY, FL 32746
Seminole County (407) 708-5383
DR. MARY LYNN VERARDI D.D.S.
Dentist (General Practice)
917 RINEHART RD, SUITE 2021
LAKE MARY, FL 32746
Seminole County (407) 688-9901
DR. CLAIRE DENISE GODFREY M.D.
Obstetrics & Gynecology (Gynecology)
917 RINEHART RD, SUITE 2001
LAKE MARY, FL 32746
Seminole County (407) 260-8987

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 Challis Grimm's NPI number?

The NPI number for Challis Grimm is 1659655074. It was assigned to this individual provider in the NPPES registry on October 4, 2011.

Where is Challis Grimm located?

Challis Grimm practices at 917 Rinehart Rd Suite 2041, Lake Mary, FL 32746. The listed phone number is (407) 804-6133.

What is Challis Grimm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Challis Grimm enrolled in Medicare?

Yes. Challis 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.

When was this NPI record last updated?

The NPPES record for Challis Grimm was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.