JACOB ADAM GRILLO PA-C
NPI 1043612575
Physician Assistant - Medical in Monroe, WA

Active since September 16, 2014PECOS EnrolledAccepts Medicare Assignment
809 W MAIN ST STE C, MONROE, WA 98272(206) 552-0882 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2024, Sep 16, 2021 (2 updates tracked since 2021).

About Jacob Adam Grillo Pa-c NPPES

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

JACOB ADAM GRILLO PA-C (NPI 1043612575) is an individual medical provider in Monroe, Washington and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043612575
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB ADAM GRILLOCredential: PA-C
Location Address809 W MAIN ST STE CMonroe, WA 98272-2172
Mailing Address809 W Main St Ste CMonroe, WA 98272-2172 · (206) 552-0882
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 16, 2014
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
NPI 1043612575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X
809 W MAIN ST STE C, Monroe, WA 98272

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Adam Grillo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921346974
PECOS Enrollment IDI20190216000048
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
809 W MAIN ST STE C
MONROE, WA 98272
Case Manager/Care Coordinator
809 W MAIN ST STE C
MONROE, WA 98272
Registered Nurse
809 W MAIN ST STE C
MONROE, WA 98272
Counselor (Addiction (Substance Use Disorder))
809 W MAIN ST STE C
MONROE, WA 98272
Clinic/Center (Multi-Specialty)
809 W MAIN ST STE C
MONROE, WA 98272
Peer Specialist
809 W MAIN ST STE C
MONROE, WA 98272
Counselor (Mental Health)
809 W MAIN ST STE C
MONROE, WA 98272
Counselor (Mental Health)
809 W MAIN ST STE C
MONROE, WA 98272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Grillo's NPI number?

The NPI number for Jacob Grillo is 1043612575. It was assigned to this individual provider in the NPPES registry on September 16, 2014.

Where is Jacob Grillo located?

Jacob Grillo practices at 809 W Main St Ste C, Monroe, WA 98272. The listed phone number is (206) 552-0882.

What is Jacob Grillo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacob Grillo enrolled in Medicare?

Yes. Jacob Grillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Grillo accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jacob Grillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Grillo was last updated on June 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.