Michelle McCuan Grimes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06528 Issued in TX

Practice address

4315 James Casey St
Suite 300
Austin, TX 78745-3365

Phone

(512) 444-7944

Fax

(512) 444-7946

NPI assigned

May 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butler and Burns Ear Nose and Throat AssociatesGroup PAC ID 5496668238, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Butler & Burns Ear Nose & Throat Associates

  • Otolaryngology Physician
  • Austin, TX
  • NPI 1174505473
  Medicare reassignment Care Compare group NPD
• Butler & Burns Ear Nose & Throat

  • Otolaryngology Physician
  • Bastrop, TX
  • NPI 1609065242
  NPD
• Butler & Burns Ear Nose & Throat Associates

  • Otolaryngology Physician
  • Austin, TX
  • NPI 1457680365
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  • General Acute Care Hospital
  • Kyle, TX
  • NPI 1619115383
  Care Compare affiliation
• Bir JV LLP

  • Rehabilitation Hospital
  • Lakeway, TX
  • NPI 1851889463

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1578881082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 JAMES CASEY ST",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453365",
            "telephone_number": "512-444-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 JAMES CASEY ST",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453365",
            "telephone_number": "512-444-7944",
            "fax_number": "512-444-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "MICHELLE",
        "middle_name": "MCCUAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328317803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328317804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "PA06528",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Grimaldo
• Andrew E Grimes, MD
• Darla A Grimes, RN, FNP-C
• Emma Grimes
• Maureen Grimes, MA, LPC
• Sandra Eileen Grimes, LCSW
• Shelby Grimes
• Elizabeth M. Grimm, DDS
• Sarah C Grimmer, DNP, APRN, FNP
• Beverly A Grimshaw, MD

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.