Individual provider Active NPI

Kayla Morgan Grimme, FNP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1073235412
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013067A Issued in IN
Practice address
7440 Woodland Dr
Indianapolis, IN 46278-1720
Phone
(317) 601-5253
NPI assigned
Sep 13, 2022
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013067A IN Primary

Addresses

Primary practice location

7440 Woodland Dr
Indianapolis, IN 46278-1720

Mailing address

6102 Thrushwood Dr
Indianapolis, IN 46250-1346
Phone (765) 437-5120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028002464 IN Practitioner - Nurse Practitioner 0446622377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PA Post Acute Services PCGroup PAC ID 7911374905, 35 clinicians

Practice addresses (Care Compare)

429 W Lincoln Rd
Kokomo, IN 46902-3508
Phone (765) 453-5600

5226 E 82ND St
Indianapolis, IN 46250-1628
Phone (317) 842-6668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71013067AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PA Post Acute Services PC CurrentSince Sep 21, 2024 Accepting new patients
CNP Operating Co LLC CurrentSince Sep 21, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1073235412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 THRUSHWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501346",
            "telephone_number": "765-437-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 WOODLAND DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781720",
            "telephone_number": "317-601-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMME",
        "first_name": "KAYLA",
        "middle_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013067A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.