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

Mrs. Lexie Catherine Grimm Jackowski, PA

Individual provider Physician Assistant · NPI 1689317596

Mrs. Lexie Catherine Grimm Jackowski, PA is a Physician Assistant in Cumberland, Maryland. Qualified in 2023, 3 years ago. Practices with UPMC Western Maryland Health Services LLC, a 167-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
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

1050 W Industrial Blvd Ste 17
Cumberland, MD 21502-4331
Phone: (240) 964-9300
Fax: (240) 964-9310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689317596
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedApril 18, 2022
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Upmc Western Maryland Health Services Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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