Doctor profile · Federal record

Dr. Kristie Grimes-Mallard, RN

Nurse Practitioner · Registered Nurse · Roxbury, MA

  • NPI 1730797077
  • Accepts Medicare
  • 6 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
45 Dimock St
Roxbury, MA 021191208
(617) 442-8800
fax (617) 541-8334
Mailing address
34 Howe St Unit 1
Boston, MA 021252143

Credentials & registration

NPPES · NUCC
NPI registered
July 2020 — 6 yrs on file
Profile last updated
November 16, 2020
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363L00000X — NUCC code
State license (1)
Massachusetts #RN2335640
Medicaid
MA #110164451A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1730797077. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
12
Distinct HCPCS
1
Medicare allowed
$180
HCPCS Description Services Patients Avg allowed
87808 Detection test by immunoassay with direct visual observation for trichomonas vaginal (genital parasite) 12 11 $15

In context: peer comparison

Among 1 peers in this city , average services per provider: 12. This provider delivers 1.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kristie Grimes-Mallard's medical specialty?
Dr. Kristie Grimes-Mallard practices Nurse Practitioner in Roxbury, MA.
Where does Dr. Kristie Grimes-Mallard practice?
Dr. Kristie Grimes-Mallard practices at 45 Dimock St, Roxbury, MA 021191208. Office phone: 6174428800.
What is Dr. Kristie Grimes-Mallard's NPI?
Dr. Kristie Grimes-Mallard's National Provider Identifier (NPI) is 1730797077, issued by NPPES.
Does Dr. Kristie Grimes-Mallard accept Medicare assignment?
Yes. Dr. Kristie Grimes-Mallard accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kristie Grimes-Mallard commonly perform?
Top Medicare-reported procedures in 2023: Detection test by immunoassay with direct visual observation for trichomonas vaginal (genital parasite) (HCPCS 87808). Source: CMS Medicare Physician & Other Practitioners file.