Active NPI
Nicole Grimm
- Medical Physician Assistant
- Erie, PA
National Provider Identifier
1760147904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 232 W 25TH St
Erie, PA 16544-0002 - Phone
- (814) 452-5354
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA | Primary |
Addresses
Primary practice location
232 W 25TH St
Erie, PA 16544-0002
Mailing address
232 W 25TH St
Erie, PA 16544-0002
Phone (814) 452-5354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220124002398 | PA | Practitioner - Physician Assistant | 1254723281 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ahn Observation Group, LLC
Practice addresses (Care Compare)
565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 469-5800
Hospital & facility affiliations
- Saint Vincent Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 78.36
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 76.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients |
Locations
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Jefferson Hills, PA
- NPI 1235518499
PA
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1760147904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 W 25TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165440002",
"telephone_number": "814-452-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W 25TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165440002",
"telephone_number": "814-452-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.