Individual provider Active NPI

Nicole Lee Grimm, NP

  • Family Nurse Practitioner
  • Stevens Point, WI
National Provider Identifier
1104199843
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7803-33 Issued in WI
Practice address
5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone
(715) 342-1185
NPI assigned
Feb 10, 2012
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X 7803-33 WI
Family Nurse Practitioner 363LF0000X 7803-33 WI Primary
Registered Nurse 163W00000X 184270-30 WI

Addresses

Primary practice location

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853

Mailing address

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853

Other names 1

  • Ms. Nicole Lee Piotrowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170928003636 WI Practitioner - Nurse Practitioner 0941575054
I20260226000088 NY Practitioner - Nurse Practitioner 0941575054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel I Rifkin MD PCGroup PAC ID 1658317607, 13 clinicians

Practice addresses (Care Compare)

1120 Youngs Rd
Suite 200
Williamsville, NY 14221-2695
Phone (716) 923-7326

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
184270-30WIMDRegistered Nurse
7803-33WIMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. Current Accepting new patients
Daniel I Rifkin, MD, PC CurrentSince Feb 1, 2026 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1120 Youngs Rd
Ste 200
Williamsville, NY 14221

5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1104199843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 VERN HOLMES DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 VERN HOLMES DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828853",
            "telephone_number": "715-342-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "WI",
            "license": "7803-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7803-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "184270-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PIOTROWSKI",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.