Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam C Grimm, PA

Individual provider Physician Assistant · NPI 1407110653

Adam C Grimm, PA is a Physician Assistant in Pewaukee, Wisconsin. Qualified in 2012, 14 years ago. Practices with Orthopaedic Associates of Wisconsin SC, a 106-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone: (262) 303-5055
Fax: (262) 303-5057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7534 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 100887-875 (WI)

Record details

NPI number1407110653
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 2, 2012
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing addressN15w28300 Golf Rd, Pewaukee, WI 53072-4800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Orthopaedic Associates Of Wisconsin Sc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pewaukee