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MARK GRIMMETT PA-C
NPI 1184605842
Physician Assistant - Medical in Tempe, AZ

Active since November 09, 2005PECOS Enrolled
2145 E WARNER RD STE 104, TEMPE, AZ 85284(480) 664-9443(480) 664-9378 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 20, 2018, May 22, 2017 (2 updates tracked since 2017).

About Mark Grimmett Pa-c NPPES

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

MARK GRIMMETT PA-C (NPI 1184605842) is an individual medical provider in Tempe, Arizona, licensed in Arizona (6657) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Litchfield Park.

NPPES Registry Identity

NPI1184605842
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARK GRIMMETTCredential: PA-C
Location Address2145 E WARNER RD STE 104Tempe, AZ 85284-3549
Mailing Address1839 S Alma School Rd Ste 354Mesa, AZ 85210-3028 · (480) 726-2287 · Fax (888) 316-9272
Phone(480) 664-9443
Fax(480) 664-9378
Sole ProprietorYes
Enumeration DateNovember 9, 2005
Last NPPES UpdateMarch 20, 20182 updates tracked since enumeration
✔ NPI 1184605842 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
License✔ Licensed in AZ · 6657
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 7629170001 (AZ), 7034950001 (AZ), 7057360001 (AZ), 7209350001 (AZ), 7047150001 (AZ), 7045160001 (AZ), 7046960001 (AZ)
2145 E WARNER RD STE 104, Tempe, AZ 85284
Open in Google Maps ↗

Secondary Practice Location 1

Location 114044 W Camelback Rd Ste 118Litchfield Park, AZ 85340-9481 · Phone (623) 547-2600 · Fax (623) 547-1899

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Grimmett 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers16 claims1,890 services$1.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ADAM CHRISTOPHER HEYING DC
Chiropractor
2145 E WARNER RD STE 104
TEMPE, AZ 85284
Maricopa County (480) 664-9443
SAMUEL ETIENNE DR., PA
Physician Assistant (Medical)
2145 E WARNER RD STE 104
TEMPE, AZ 85284
Maricopa County (480) 664-9443
DR. CORY ROBERT WILSON D.C.
Chiropractor
2145 E WARNER RD STE 104
TEMPE, AZ 85284
Maricopa County (480) 664-9443

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 Mark Grimmett's NPI number?

The NPI number for Mark Grimmett is 1184605842. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Mark Grimmett located?

Mark Grimmett practices at 2145 E Warner Rd Ste 104, Tempe, AZ 85284. The listed phone number is (480) 664-9443.

What is Mark Grimmett's specialty?

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

Is Mark Grimmett enrolled in Medicare?

Yes. Mark Grimmett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Grimmett was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.