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

Mr. Nicholas J Grande Jr., PAC

Individual provider Medical Physician Assistant · NPI 1316085756

Mr. Nicholas J Grande Jr., PAC is a Physician Assistant in Davenport, Iowa. Qualified in 2006, 20 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group and accepts Medicare assignment.

Years since qualifying
20
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1227 E Rusholme St
Davenport, IA 52803-2459
Phone: (563) 421-1000
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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

Record details

NPI number1316085756
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients49
Services billed 55 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Carbon Health Medical Group of California PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 332 clinicians in the practice; 12 are shown here.

Other providers in Davenport