Individual provider Active NPI

Mincy A Grove, FNP-C

  • Family Nurse Practitioner
  • West Lafayette, IN
National Provider Identifier
1144001017
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10230176 Issued in IN
Practice address
1400 Mitch Daniels Blvd Ste C
West Lafayette, IN 47906-3438
Phone
(574) 702-0556
NPI assigned
Oct 9, 2023
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 F10230176 IN Primary

Addresses

Primary practice location

1400 Mitch Daniels Blvd Ste C
West Lafayette, IN 47906-3438

Mailing address

1400 Mitch Daniels Blvd Ste C
West Lafayette, IN 47906-3438
Phone (574) 702-0556

Other practice location 1

1765 Sandstone Ct E
Lafayette, IN 47909-8419
Phone (574) 702-0556

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
I20250923002585 IN Practitioner - Nurse Practitioner 2264937192 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karefirst Indiana PCGroup PAC ID 4587968862, 15 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

20531 Darden Rd
South Bend, IN 46637-2915
Phone (574) 272-0100

3 N Manatee St
Brazil, IN 47834-1513
Phone (812) 531-1127

3536 Promenade Pkwy
Lafayette, IN 47909-8377
Phone (765) 231-2956

3727 E Market St
Logansport, IN 46947-4589
Phone (574) 727-2114

4152 W State Rd
Suite 56
Hanover, IN 47243-9070
Phone (901) 351-1791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F10230176INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 29, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Karefirst Indiana PC CurrentSince Aug 18, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 29, 2025 Accepting new patients
Karefirst Oklahoma PC Past Accepting new patients

Locations

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

2640 Cold Spring Rd
Indianapolis, IN 46222
Phone (317) 923-1177

20531 Darden Rd
South Bend, IN 46637
Phone (574) 272-0100

Organizations & group practices 6

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1144001017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MITCH DANIELS BLVD STE C",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063438",
            "telephone_number": "574-702-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MITCH DANIELS BLVD STE C",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063438",
            "telephone_number": "574-702-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1765 Sandstone Ct E",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479098419",
            "country_code": "US",
            "telephone_number": "574-702-0556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVE",
        "first_name": "MINCY",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F10230176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.