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

Nicholas Patrick Grimm, PA-C

Individual provider Physician Assistant · NPI 1104023381

Nicholas Patrick Grimm, PA-C is a Physician Assistant in Marinette, Wisconsin. Qualified in 2007, 19 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3515 Murray St
Marinette, WI 54143-3367
Phone: (715) 732-0699
Fax: (715) 732-3522
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 715 Superior Rd Ste 120, Green Bay, WI 54311-7595 — (920) 406-9803
  • N4531 State Highway 22 Ste 5, Shawano, WI 54166-6173 — (715) 524-5995

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2166-023 (WI)

Record details

NPI number1104023381
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2007
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Marinette