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AMBER GRIMM PA-C
NPI 1609414143
Physician Assistant in Lake Mary, FL

Active since December 16, 2019PECOS EnrolledAccepts Medicare Assignment
1337 S INTERNATIONAL PKWY STE 1301, LAKE MARY, FL 32746(407) 878-0022 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2022, Dec 16, 2019 (2 updates tracked since 2019).

About Amber Grimm Pa-c NPPES

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

AMBER GRIMM PA-C (NPI 1609414143) is an individual physician assistant in Lake Mary, Florida, licensed in Florida (PA9112838) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609414143
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMBER GRIMMCredential: PA-C
Location Address1337 S INTERNATIONAL PKWY STE 1301Lake Mary, FL 32746-1402
Mailing Address1337 S International Pkwy Ste 100Lake Mary, FL 32746-1402 · (407) 878-0022 · Fax (888) 815-1039
Phone(407) 878-0022
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 16, 2019
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1609414143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9112838
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.
1337 S INTERNATIONAL PKWY STE 1301, Lake Mary, FL 32746
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.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

Amber Grimm 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 ID840626693
PECOS Enrollment IDI20200214000721
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 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Amber Grimm's NPI number?

The NPI number for Amber Grimm is 1609414143. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Where is Amber Grimm located?

Amber Grimm practices at 1337 S International Pkwy Ste 1301, Lake Mary, FL 32746. The listed phone number is (407) 878-0022.

What is Amber Grimm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amber Grimm enrolled in Medicare?

Yes. Amber Grimm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amber Grimm accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Amber Grimm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amber Grimm was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.