Kristie Grimes-Mallard, RN
NPI 1730797077 · Nurse Practitioner · Roxbury, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristie Grimes-Mallard, RN is a Nurse Practitioner provider in Roxbury, MA (NPI 1730797077).
Provider details
- NPI number
- 1730797077
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN2335640 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-22
- Last updated
- 2020-11-16
- Certified
- 2020-11-16
Frequently asked questions
- What is Kristie Grimes-Mallard's NPI number?
- Kristie Grimes-Mallard's National Provider Identifier (NPI) is 1730797077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristie Grimes-Mallard's specialty?
- Kristie Grimes-Mallard is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kristie Grimes-Mallard located?
- Kristie Grimes-Mallard's practice location on file with NPPES is 45 Dimock St, Roxbury, MA 02119-1208.
- What is Kristie Grimes-Mallard's phone number?
- The practice phone number listed in the NPPES registry for Kristie Grimes-Mallard is (617) 442-8800.
- Does Kristie Grimes-Mallard accept Medicare?
- Kristie Grimes-Mallard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristie Grimes-Mallard's NPI active?
- Yes — Kristie Grimes-Mallard's NPI (1730797077) is active in the NPPES registry as of the last update on 2020-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.