ERICA MARIE GRIMM DO
NPI 1346746419
Pediatrics in Marion, IL

Q: What is Erica Grimm's NPI number?

The NPI number for Erica Grimm is 1346746419. It was assigned to this individual provider in the NPPES registry on April 5, 2018. The provider is also known as Erica Marie White.

Q: What is Erica Grimm's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Grimm was last updated on August 26, 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.

Active since April 05, 2018PECOS Enrolled

3412 OFFICE PARK DR, MARION, IL 62959(618) 993-0404(618) 993-1717 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Erica Marie Grimm Do NPPES

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

ERICA MARIE GRIMM DO (NPI 1346746419) is an individual pediatrics provider in Marion, Illinois, licensed in Illinois (036176517) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Leonard Wood.

NPPES Registry Identity

NPI1346746419

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameERICA MARIE GRIMMCredential: DO

Location Address3412 OFFICE PARK DRMarion, IL 62959-6477

Mailing Address21819 Enyenhausen RdCreal Springs, IL 62922-2423 · (315) 708-2283

Phone(618) 993-0404

Fax(618) 993-1717

Sole ProprietorNo

Enumeration DateApril 5, 2018

Last NPPES UpdateAugust 26, 2025

NPPES CertifiedAugust 26, 2025

✔ NPI 1346746419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IL · 036176517✔ Licensed in NE · 2105

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3412 OFFICE PARK DR, Marion, IL 62959

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Other Names 1

Former Name (1)Erica Marie White

Secondary Practice Location 1

Location 14430 Missouri AveFort Leonard Wood, MO 65473-9098 · Phone (573) 596-1766

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erica Marie Grimm Do 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 62959 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 12

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

MICHELLE WHARTON APN, NP-C

Nurse Practitioner (Family)