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MRS. MISTY LEE GRIMES LCSW
NPI 1700154135
Social Worker - Clinical in Denver, CO

Active since December 13, 2011PECOS Enrolled
77.17/100
CMS Quality Rating
6474 E MISSISSIPPI AVE, DENVER, CO 80224(720) 990-0086 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2023, Nov 20, 2015 (2 updates tracked since 2015).

About Mrs. Misty Lee Grimes Lcsw NPPES

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

MRS. MISTY LEE GRIMES LCSW (NPI 1700154135) is an individual clinical provider in Denver, Colorado, licensed in Colorado (CSW.09923962) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700154135
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MISTY LEE GRIMESCredential: LCSW
Location Address6474 E MISSISSIPPI AVEDenver, CO 80224-1455
Mailing Address6474 E Mississippi AveDenver, CO 80224-1455 · (720) 990-0086
Phone(720) 990-0086
Sole ProprietorNo
Enumeration DateDecember 13, 2011
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1700154135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CO · CSW.09923962
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6474 E MISSISSIPPI AVE, Denver, CO 80224
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Misty Lee Grimes Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 80224 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
$0.00 typical visit price
range $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.27
Promoting Interoperability81
Improvement Activities40
Cost59.47

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 Misty Grimes's NPI number?

The NPI number for Misty Grimes is 1700154135. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Misty Grimes located?

Misty Grimes practices at 6474 E Mississippi Ave, Denver, CO 80224. The listed phone number is (720) 990-0086.

What is Misty Grimes's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Misty Grimes enrolled in Medicare?

Yes. Misty Grimes is registered in the Medicare PECOS enrollment system.

What insurance does Misty Grimes accept?

Health plans from Oscar Insurance Company and Providence Health Plan list Misty Grimes 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 Misty Grimes was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.