THERESA GRIMES FNP-BC
NPI 1912910910
Nurse Practitioner - Family in Port Jefferson, NY

Q: What is Theresa Grimes's NPI number?

The NPI number for Theresa Grimes is 1912910910. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Theresa Grimes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Grimes was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 14, 2006PECOS Enrolled

75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 476-2847 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theresa Grimes Fnp-bc NPPES

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

THERESA GRIMES FNP-BC (NPI 1912910910) is an individual family provider in Port Jefferson, New York, licensed in New York (F332400-1) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912910910

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTHERESA GRIMESCredential: FNP-BC

Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119

Mailing Address12 Monitor CtCoram, NY 11727-1634 · (631) 476-2734

Phone(631) 476-2847

Sole ProprietorNo

Enumeration DateAugust 14, 2006

Last NPPES UpdateFebruary 4, 2011

✔ NPI 1912910910 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 NY · F332400-1

75 N COUNTRY RD, Port Jefferson, NY 11777

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Other Identifiers 2

Medicare ID-Type Unspecified94N411NY

Medicaid01993700NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Grimes Fnp-bc 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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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.

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Student in an Organized Health Care Education/Training Program