Nichole Suzanne Grimm, NP - Medicare Nurse Practitioner in Sandpoint, ID

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Nichole Suzanne Grimm, NP is a medicare enrolled "Nurse Practitioner - Family" in Sandpoint, Idaho. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bonner General Hospital Inc and her current practice location is 423 N 3rd Ave Ste 201, Sandpoint, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 263-2221.

Nichole Suzanne Grimm is licensed to practice in Idaho (license number NP-1113A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669756813.

Contact Information

Nichole Suzanne Grimm, NP
423 N 3rd Ave Ste 201,
Sandpoint, ID 83864-1511
(208) 263-2221
Not Available

Map and Direction




Provider's Profile

Full NameNichole Suzanne Grimm
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location423 N 3rd Ave Ste 201, Sandpoint, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nichole Suzanne Grimm graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1669756813
  • Provider Enumeration Date: 10/06/2011
  • Last Update Date: 10/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214102557
  • Enrollment ID: I20111214000784

Medical Identifiers

Medical identifiers for Nichole Suzanne Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669756813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-1113A (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bonner General HospitalSandpoint, IDHospital
Kootenai HealthCoeur d'alene, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bonner General Hospital Inc408269046635

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichole Suzanne Grimm allows following entities to bill medicare on her behalf.
Entity NameBonner General Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154563963
PECOS PAC ID: 4082690466
Enrollment ID: O20040626000014
Entity NameMichael R Dibenedetto Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083809727
PECOS PAC ID: 0840385670
Enrollment ID: O20071009000187
Entity NameSandpoint Healthcare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548741820
PECOS PAC ID: 2860745387
Enrollment ID: O20181031001614

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Suzanne Grimm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nichole Suzanne Grimm, NP
Po Box 1343,
Sandpoint, ID 83864-0863

Ph: (208) 263-1441		Nichole Suzanne Grimm, NP
423 N 3rd Ave Ste 201,
Sandpoint, ID 83864-1511

Ph: (208) 263-2221

Reviews and Comments


Nurse Practitioner Nurses in Sandpoint, ID

Ms. Ann L Cox, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864
Phone: 208-265-2242    Fax: 208-265-8214
Erin Bass,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 810 N. Sixth Avenue, Sandpoint, ID 83864
Phone: 208-265-2242    Fax: 208-265-8214
Kimberly Amelia Rutland, WHNP
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Medicare: Medicare Enrolled
Practice Location: 810 Sixth Ave, Sandpoint, ID 83864
Phone: 208-265-6252    Fax: 208-265-8214
Tammy Lynn Undiemi, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 810 Sixth Ave, Sandpoint, ID 83864
Phone: 208-263-3410    Fax: 208-255-4842
Natasha M Splaine-talbott, PMHNP
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Medicare: Accepting Medicare Assignments
Practice Location: 606 N 3rd Ave Ste 203, Sandpoint, ID 83864
Phone: 304-276-9937    
Denise White, DNP, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 606 N Third Ave Ste 203, Sandpoint, ID 83864
Phone: 208-265-1046    Fax: 208-265-3756
Anna Mena-schaures,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1013 Lake St Ste 102, Sandpoint, ID 83864
Phone: 208-597-7910    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.