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

Nicole Grimm

Individual provider Medical Physician Assistant · NPI 1760147904

Nicole Grimm is a Physician Assistant in Erie, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Ahn Observation Group, LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

232 W 25th St
Erie, PA 16544-0002
Phone: (814) 452-5354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (PA)

Record details

NPI number1760147904
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ahn Observation Group, Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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