Individual provider Active NPI

Zachary Camden Grimes, NP

  • Family Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1013521905
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010360A Issued in IN
Practice address
489 S State Road 135 Ste F
Greenwood, IN 46142-1407
Phone
(317) 887-7640
NPI assigned
Sep 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010360A IN Primary
Emergency Registered Nurse 163WE0003X 28209788A IN

Addresses

Primary practice location

489 S State Road 135 Ste F
Greenwood, IN 46142-1407

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
67.99
Promoting interoperability
100
Improvement activities
40
Cost
78.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71010360AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of in LLC Family CurrentSince Nov 30, 2022 Accepting new patients
Pic Indiana PC CurrentSince Nov 27, 2023 Accepting new patients
Indiana University Health Care Associates, Inc Family CurrentSince Jan 1, 2021 Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

5350 E Thompson Rd
Indianapolis, IN 46237
Phone (317) 396-0814

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1801 Senate Blvd
Ste 230
Indianapolis, IN 46202
Phone (317) 962-5280

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

Interoperability endpoints

  • Direct secure messaging: zachary.grimes@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1013521905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 S STATE ROAD 135 STE F",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421407",
            "telephone_number": "317-887-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "ZACHARY",
        "middle_name": "CAMDEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010360A",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28209788A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.