Jessica Leigh Grim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mill City, Oregon. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Santiam Memorial Hospital and her current practice location is
280 S 1st Ave, Mill City, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 897-4100.
Jessica Leigh Grim is licensed to practice in Oregon (license number 10021457) 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 1568225738.
Provider's Profile
| Full Name | Jessica Leigh Grim |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 280 S 1st Ave, Mill City, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jessica Leigh Grim graduated from nursing school in 2023
NPI Data:
- NPI Number: 1568225738
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709225816
- Enrollment ID: I20240422001239
Medical Identifiers
Medical identifiers for Jessica Leigh Grim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568225738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 10021457 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Santiam Memorial Hospital | 6103729751 | 95 |
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. Jessica Leigh Grim allows following entities to bill medicare on her behalf.
| Entity Name | Santiam Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154302214 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239 |
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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. Jessica Leigh Grim 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 Address | Practice Location Address |
Jessica Leigh Grim, FNP 41350 Sunset Way Se, Stayton, OR 97383-9710 Ph: (503) 560-2859 | Jessica Leigh Grim, FNP 280 S 1st Ave, Mill City, OR 97360-2324 Ph: (503) 897-4100 |
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