MS. PAM SUE GRASSMIDT RNC
NPI 1073735163
Nurse Practitioner - Adult Health in Modesto, CA

Active since May 02, 2007PECOS Enrolled
1552 COFFEE RD, MODESTO, CA 95355(209) 521-4372(209) 523-2005 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Pam Sue Grassmidt Rnc NPPES

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

MS. PAM SUE GRASSMIDT RNC (NPI 1073735163) is an individual adult health provider in Modesto, California, licensed in California (332355) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073735163
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. PAM SUE GRASSMIDTCredential: RNC
Location Address1552 COFFEE RDModesto, CA 95355-3107
Mailing Address1552 Coffee RdModesto, CA 95355-3107 · (209) 521-4372 · Fax (209) 523-2005
Fax(209) 523-2005
Sole ProprietorNo
Enumeration DateMay 2, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1073735163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in CA · 332355
Also ListedNurse PractitionerTaxonomy 363L00000X · License 332355 (CA)
1552 COFFEE RD, Modesto, CA 95355

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Pam Sue Grassmidt Rnc 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 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Radiology (Vascular & Interventional Radiology)
1552 COFFEE RD
MODESTO, CA 95355
Dietitian, Registered
1552 COFFEE RD, SUITE 200
MODESTO, CA 95355
Obstetrics & Gynecology
1552 COFFEE RD
MODESTO, CA 95355
Radiology (Vascular & Interventional Radiology)
1552 COFFEE RD
MODESTO, CA 95355
Obstetrics & Gynecology
1552 COFFEE RD
MODESTO, CA 95355
Obstetrics & Gynecology
1552 COFFEE RD
MODESTO, CA 95355
Obstetrics & Gynecology
1552 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner
1552 COFFEE RD
MODESTO, CA 95355

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 Pam Grassmidt's NPI number?

The NPI number for Pam Grassmidt is 1073735163. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Pam Grassmidt located?

Pam Grassmidt practices at 1552 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 521-4372.

What is Pam Grassmidt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Pam Grassmidt enrolled in Medicare?

Yes. Pam Grassmidt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pam Grassmidt was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.