WILLIAM GRELLO PA-C
NPI 1124410444
Physician Assistant in Camp Lejeune, NC

Q: What is William Grello's NPI number?

The NPI number for William Grello is 1124410444. It was assigned to this individual provider in the NPPES registry on February 24, 2015. The provider is also known as William Mcmillan-Grello Pa-C.

Q: What is William Grello'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 William Grello was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 24, 2015PECOS EnrolledAccepts Medicare Assignment

100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4357 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2025, May 20, 2022, Feb 4, 2022 (3 updates tracked since 2022).

On this page

About William Grello Pa-c NPPES

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

WILLIAM GRELLO PA-C (NPI 1124410444) is an individual physician assistant in Camp Lejeune, North Carolina, licensed in South Carolina (5788) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124410444

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameWILLIAM GRELLOCredential: PA-C

Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575

Mailing Address100 Brewster BlvdCamp Lejeune, NC 28547-2575

Phone(910) 450-4357

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 24, 2015

Last NPPES UpdateJune 10, 20253 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1124410444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in SC · 5788✔ Licensed in TN · 1123217

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.

100 BREWSTER BLVD, Camp Lejeune, NC 28547

Open in Google Maps ↗

Other Names 1

Former Name (1)William Mcmillan-grello Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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

William Grello 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 ID8022442573

PECOS Enrollment IDI20250701000008

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 28547 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

MR. JUSTIN THOMAS DAUGHTRY D.O.

Emergency Medicine