1. Home
  2. Directory
  3. Ohio
  4. Vandalia
  5. Nurse Practitioner
  6. NPI Profile

MR. JASON W GRIMM ACNP
NPI 1083866032
Nurse Practitioner - Acute Care in Vandalia, OH

Active since October 21, 2008PECOS Enrolled
600 AVIATOR CT STE 100B, VANDALIA, OH 45377(210) 860-0626 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2020, Sep 29, 2020 (2 updates tracked since 2020).

About Mr. Jason W Grimm Acnp NPPES

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

MR. JASON W GRIMM ACNP (NPI 1083866032) is an individual acute care provider in Vandalia, Ohio, licensed in Ohio (APRN.CNP.025146) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083866032
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. JASON W GRIMMCredential: ACNP
Location Address600 AVIATOR CT STE 100BVandalia, OH 45377-9474
Mailing Address600 Aviator Ct Ste 100bVandalia, OH 45377-9474 · (210) 860-0626
Phone(210) 860-0626
Sole ProprietorNo
Enumeration DateOctober 21, 2008
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1083866032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.025146
600 AVIATOR CT STE 100B, Vandalia, OH 45377
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jason W Grimm Acnp 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 45377 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Jason Grimm's NPI number?

The NPI number for Jason Grimm is 1083866032. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Jason Grimm located?

Jason Grimm practices at 600 Aviator Ct Ste 100B, Vandalia, OH 45377. The listed phone number is (210) 860-0626.

What is Jason Grimm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jason Grimm enrolled in Medicare?

Yes. Jason Grimm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Grimm was last updated on October 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.