Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tamara Grissman, PA-C

Individual provider Physician Assistant · NPI 1093022519

Tamara Grissman, PA-C is a Physician Assistant in Oconomowoc, Wisconsin. Qualified in 2010, 16 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1284 N Summit Ave
Oconomowoc, WI 53066-4459
Phone: (262) 560-3700
Fax: (262) 560-3759
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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 2652-023 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2652-023 (WI)

Record details

NPI number1093022519
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 3, 2010
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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