Individual provider Active NPI

Karen Grimley

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1083014195
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006611A Issued in IN
Practice address
1030 East County Line Road
Ste C-1
Indianapolis, IN 46227-6291
Phone
(317) 497-6290
Fax
(317) 497-6290
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006611A IN Primary

Addresses

Primary practice location

1030 East County Line Road
Ste C-1
Indianapolis, IN 46227-6291

Mailing address

6626 E 75TH Street
Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7561

Other identifiers 1

IdentifierTypeStateIssuer
000000892097OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KGRIMLEY128775@ECOMMUNITYDIRECT.COM

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141108000152 IN Practitioner - Clinical Social Worker 9335368893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health Network IncGroup PAC ID 1850203977, 95 clinicians

Practice addresses (Care Compare)

6950 Hillsdale CT
Indianapolis, IN 46250-2040
Phone (317) 621-7740

Hospital & facility affiliations

  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074

Merit-based Incentive Payment System (MIPS)

Final score
99.82 of 100Reported as group
Quality
96.14
Promoting interoperability
100
Improvement activities
40
Cost
82.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34006611AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc CurrentSince Oct 1, 2014 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Health Network, Inc. Past Accepting new patients
Community Health Network, Inc Past Accepting new patients

Locations

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

1030 E County Line Rd
Ste C1
Indianapolis, IN 46227
Phone (317) 497-6290

Interoperability endpoints

  • Direct secure messaging: kgrimley128775@ecommunitydirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1083014195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH STREET",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7561",
            "fax_number": "317-355-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 EAST COUNTY LINE ROAD",
            "address_2": "STE C-1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276291",
            "telephone_number": "317-497-6290",
            "fax_number": "317-497-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMLEY",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006611A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000892097",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KGRIMLEY128775@ECOMMUNITYDIRECT.COM",
            "affiliation": "N",
            "address_1": "1030 East County Line Road",
            "address_2": "Ste C-1",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462276291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.