Active NPI
Lexie Catherine Grimm Jackowski, PA
- Physician Assistant
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331 - Phone
- (240) 964-9300
- Fax
- (240) 964-9310
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331
Mailing address
13406 Pershing St
Cumberland, MD 21502-5312
Phone (301) 471-4063
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lexie.c.grimm@upmcdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 W Industrial Blvd
Cumberland, MD 21502-4331
10701 New Georges Creek Rd SW
Frostburg, MD 21532-1457
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-6000
Hospital & facility affiliations
- Western Maryland Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Western Maryland Health Services, LLC | Single Specialty | Current | Accepting new patients |
| Upmc Western Maryland Health Services, LLC | Current | Accepting new patients |
Locations
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
1050 W Industrial Blvd
Ste 17
Cumberland, MD 21502
Phone (240) 964-9300
Interoperability endpoints
- lgrimm106452@upmc.direct-ci.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1447976584
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
Single Specialty
-
- Family Medicine Physician
- Lavale, MD
- NPI 1811756232
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1689317596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13406 PERSHING ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215025312",
"telephone_number": "301-471-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 W INDUSTRIAL BLVD STE 17",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215024331",
"telephone_number": "240-964-9300",
"fax_number": "240-964-9310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKOWSKI",
"first_name": "LEXIE",
"middle_name": "CATHERINE GRIMM",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lexie.c.grimm@upmcdirect.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cumberland, MD
- Independent Dialysis Foundation, Inc
- Inner Compass Counseling Group, LLC
- Inner Light Mental Health
- James Michael Isaac, OTR
- J.L. Murray, D.C.,P.a.
- Francis D. Jackson, M.D., P.A.
- William Louis Jackson, RPH
- Rachel Leigh Jacovino, CRNP
- James E. Miller, PH.D., Psychologist, PC
- Jacqueline Javor James, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.