VICTORIA GRIMMETT NURSE PRACTITIONER
NPI 1710871629
Nurse Practitioner - Gerontology in Saint Louis, MO

Active since June 05, 2025PECOS EnrolledAccepts Medicare Assignment
4624 LANSDOWNE AVE, SAINT LOUIS, MO 63116(314) 351-6888 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victoria Grimmett Nurse Practitioner NPPES

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

VICTORIA GRIMMETT NURSE PRACTITIONER (NPI 1710871629) is an individual gerontology provider in Saint Louis, Missouri, licensed in Illinois (209032312) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Belleville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710871629
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameVICTORIA GRIMMETTCredential: NURSE PRACTITIONER
Location Address4624 LANSDOWNE AVESaint Louis, MO 63116-1523
Mailing Address1117 E A StBelleville, IL 62220-3923 · (618) 550-4999
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
NPI 1710871629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in IL · 209032312 Licensed in MO · 2025018394
4624 LANSDOWNE AVE, Saint Louis, MO 63116

Secondary Practice Location 1

Location 11117 E A StBelleville, IL 62220-3923 · Phone (618) 550-4999

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

Victoria Grimmett Nurse Practitioner 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 ID840703153
PECOS Enrollment IDI20250630004166, I20250923001070
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 63116 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 7

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

Skilled Nursing Facility
4624 LANSDOWNE AVE
SAINT LOUIS, MO 63116
Speech-Language Pathologist
4624 LANSDOWNE AVE
SAINT LOUIS, MO 63116
Occupational Therapist
4624 LANSDOWNE AVE
SAINT LOUIS, MO 63116
Nurse Practitioner (Adult Health)
4624 LANSDOWNE AVE
SAINT LOUIS, MO 63116
Nursing Facility/Intermediate Care Facility
4624 LANSDOWNE AVE
SAINT LOUIS, MO 63116
Physical Therapy Assistant
4624 LANSDOWNE AVE
SAINT LOUIS, MO 63116
Speech-Language Pathologist
4624 LANSDOWNE AVE
SAINT LOUIS, MO 63116

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 Victoria Grimmett's NPI number?

The NPI number for Victoria Grimmett is 1710871629. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Victoria Grimmett located?

Victoria Grimmett practices at 4624 Lansdowne Ave, Saint Louis, MO 63116. The listed phone number is (314) 351-6888.

What is Victoria Grimmett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Victoria Grimmett enrolled in Medicare?

Yes. Victoria Grimmett 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 Victoria Grimmett was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.