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

Grant Scott Geisler

Individual provider Physician Assistant · NPI 1154079721

Grant Scott Geisler is a Physician Assistant in Urbana, Illinois. Qualified in 2022, 4 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
4
Licensed in
IL, WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2501
Phone: (217) 383-3210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 — (262) 827-9200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085011000 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 5894-23 (WI)

Record details

NPI number1154079721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2022
Last updated in NPPESJune 23, 2025
Certification dateJune 2, 2025
Mailing address611 W Park St, Fapc, Urbana, IL 61801-2500

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Urbana