Active NPI
Scott D Grimm, PAC
- Medical Physician Assistant
- Hudson, FL
National Provider Identifier
1790975142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MED-PAC-LIC-28473
- Practice address
- 7544 Jacque Rd
Hudson, FL 34667-7162 - Phone
- (727) 697-2200
- NPI assigned
- Jul 31, 2007
- Sex
- Male
- Sole proprietor
- No
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 | MED-PAC-LIC-28473 | MT | |
| Medical Physician Assistant | 363AM0700X | MED-PAC-LIC-28473 | MT | Primary |
Addresses
Primary practice location
7544 Jacque Rd
Hudson, FL 34667-7162
Mailing address
7544 Jacque Rd
Hudson, FL 34667-7162
Phone (727) 697-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9104443 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- 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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 Ellis St
Suite 201
Bozeman, MT 59715-8813
Phone (406) 587-0122
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
- Billings Clinic Hospital
- Livingston Healthcare
- Barrett Hospital & Healthcare
- Madison Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.93 of 100
- Quality
- 60.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104443 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Health Deaconess Hospital | Past | Accepting new patients |
Interoperability endpoints
- scott.grimm.1@12906.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bozeman, MT
- NPI 1750310926
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1619347390
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, MT
- NPI 1326419102
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1104295864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1790975142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7544 JACQUE RD",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677162",
"telephone_number": "727-697-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7544 JACQUE RD",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677162",
"telephone_number": "727-697-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "SCOTT",
"middle_name": "D",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "MED-PAC-LIC-28473",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MT",
"license": "MED-PAC-LIC-28473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA9104443",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.