NICHOLAS PATRICK GRIMM PA-C NPI 1104023381

NPI Details

Nicholas Patrick Grimm, PA-C is a physician assistant in Marinette, WI with 18 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Nicholas Patrick Grimm, PA-C NPI is 1104023381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3515 MURRAY ST
MARINETTE, WI
ZIP 54143-367
Phone: (715) 732-0699
Fax: (715) 732-3522

The NPI 1104023381 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Punch biopsy, first skin growth (HCPCS:11104)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
• Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
• Biopsy of ear (HCPCS:69100)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
• Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
• Application of light to destroy precancer skin growth (HCPCS:96567)
• Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
• Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
• Removal of skin tag, 1-15 skin tags (HCPCS:11200)
• All potassium hydroxide (koh) preparations (HCPCS:Q0112)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/29/2007 and was last updated on 8/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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