EMMAH KAYE GRISWOLD PA-C - NPI 1013884691 - Physician Assistant in White Bear Lake, MN

Q: What is Emmah Griswold's NPI number?

The NPI number for Emmah Griswold is 1013884691. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Q: What is Emmah Griswold's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Emmah Griswold was last updated on June 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Emmah Kaye Griswold Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMAH KAYE GRISWOLD PA-C (NPI 1013884691) is an individual physician assistant in White Bear Lake, Minnesota, licensed in Minnesota (15521) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013884691

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEMMAH KAYE GRISWOLDCredential: PA-C

Location Address4480 CENTERVILLE RDWhite Bear Lake, MN 55127-3674

Mailing Address4480 Centerville RdWhite Bear Lake, MN 55127-3674 · (651) 484-2724

Phone(651) 484-2724

Sole ProprietorNo

Enumeration DateOctober 20, 2025

Last NPPES UpdateJune 20, 2026

NPPES CertifiedJune 20, 2026

✔ NPI 1013884691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 15521

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4480 CENTERVILLE RD, White Bear Lake, MN 55127

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmah Kaye Griswold Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.