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JAMES RICHARD GRUENEWALD PA-C
NPI 1750686796
Physician Assistant in Milwaukee, WI

Active since January 24, 2011PECOS Enrolled
94.61/100
CMS Quality Rating
111 E WISCONSIN AVE STE 2100, MILWAUKEE, WI 53202(414) 290-6700(414) 290-6781 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2021, Jan 10, 2017 (2 updates tracked since 2017).

About James Richard Gruenewald Pa-c NPPES

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

JAMES RICHARD GRUENEWALD PA-C (NPI 1750686796) is an individual physician assistant in Milwaukee, Wisconsin and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750686796
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES RICHARD GRUENEWALDCredential: PA-C
Location Address111 E WISCONSIN AVE STE 2100Milwaukee, WI 53202-4809
Mailing Address111 E Wisconsin AveMilwaukee, WI 53202-4815 · (414) 290-6700 · Fax (414) 290-6781
Phone(414) 290-6700
Fax(414) 290-6781
Sole ProprietorNo
Enumeration DateJanuary 24, 2011
Last NPPES UpdateDecember 31, 20212 updates tracked since enumeration
NPPES CertifiedDecember 31, 2021
✔ NPI 1750686796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
111 E WISCONSIN AVE STE 2100, Milwaukee, WI 53202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Richard Gruenewald 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53202 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

IHC-TELEHEALTH LLC
Emergency Medicine
111 E WISCONSIN AVE STE 2100
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6718
MR. PAUL EVERETT MITTELSTADT M.D.
Emergency Medicine
111 E WISCONSIN AVE STE 2100
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6700
DR. THANH Q TRAN MD
Emergency Medicine (Medical Toxicology)
111 E WISCONSIN AVE STE 2100
MILWAUKEE, WI 53202
Milwaukee County (414) 290-6700

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 James Gruenewald's NPI number?

The NPI number for James Gruenewald is 1750686796. It was assigned to this individual provider in the NPPES registry on January 24, 2011.

Where is James Gruenewald located?

James Gruenewald practices at 111 E Wisconsin Ave Ste 2100, Milwaukee, WI 53202. The listed phone number is (414) 290-6700.

What is James Gruenewald's specialty?

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

Is James Gruenewald enrolled in Medicare?

Yes. James Gruenewald is registered in the Medicare PECOS enrollment system.

What insurance does James Gruenewald accept?

Health plans from CareSource (Common Ground Healthcare) list James Gruenewald 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 James Gruenewald was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.