Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043612575 Individual Practitioner Male Practitioner

Jacob Adam Grillo , PA-C

Physician Assistant - Medical • Monroe, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jacob Grillo, PA-C is a certified Physician Assistant - Medical practicing in Monroe, WA. With approximately 11 years of clinical experience since completing medical education in 2015, Jacob Grillo delivers high-quality medical care to the local community at 809 W MAIN ST STE C.

Jacob Grillo is affiliated with Conquer Addiction Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

809 W Main St Ste C

Monroe, WA 982722172

Telephone 2065520882
Associated Practice Facility / Clinic
🏢 Conquer Addiction Pllc Facility NPI 1255001624

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Monroe, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -7.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Monroe, WA (1096 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grillo (11 Years) 11 Yrs
Monroe Specialty Average (18.0 Years) 18.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-06-12
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Conquer Addiction Pllc

809 W Main St, Monroe, WA 982722172

Phone: 2065520882

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Mikel Wassemiller

Counselor - Addiction (Substance Use Disorder)

NPI 1043102163
Joan Daves

Case Manager/Care Coordinator

NPI 1093912891
NPI 1104532027

CERTIFIEDPEERCOUNS

Shirley Karlsen , RN

Registered Nurse

NPI 1134933880

Registered Nurse

Quinn Jay , CPSS

Peer Specialist

NPI 1174315253
Karl Berner , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1215617436

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location June 12, 2024

Registered at 809 W MAIN ST STE C, MONROE, WA 982722172 (Tel: 2065520882)

📍
Updated Business Mailing Address June 12, 2024

Registered at 809 W MAIN ST STE C, MONROE, WA 982722172 (Tel: 2065520882)

📍
Updated Practice Location March 23, 2022

Registered at 909 W MAIN ST STE 102, MONROE, WA 982722031 (Tel: 3604537715)

📍
Updated Business Mailing Address March 23, 2022

Registered at 19916 OLD OWEN RD # 510, MONROE, WA 982729778 (Tel: 3604537715)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Physician Assistant

📍
Updated Practice Location September 16, 2021

Registered at 16550 177TH AVE SE STE 200, MONROE, WA 982721968 (Tel: 3607942400)

📍
Updated Business Mailing Address September 16, 2021

Registered at 32120 116TH ST SE, SULTAN, WA 982949663 (Tel: 4253871863)

👤
Provider Name / Credentials Updated September 16, 2021

Recorded as JACOB GRILLO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2021

Physician Assistant

NPI Profile Active September 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2014

Registered at 4311 11TH AVE NE, SUITE 200, SEATTLE, WA 981056366 (Tel: 2066164001)

📍
Updated Business Mailing Address September 16, 2014

Registered at 4311 11TH AVE NE, SUITE 200, SEATTLE, WA 981056366 (Tel: 2066164001)

👤
Provider Name / Credentials Updated September 16, 2014

Recorded as JACOB GRILLO, PA-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 16, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043612575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2014
Last Update: June 12, 2024
Sole Proprietor: No

Mailing Address

809 W Main St Ste C

Monroe, WA 982722172

Phone: 2065520882

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.