Individual provider Active NPI

Ashley L Grumbine, NP-C

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1194139956
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28216685A Issued in IN
Practice address
1805 Calumet Ave
Valparaiso, IN 46383-3130
Phone
(866) 389-2727
NPI assigned
Jun 19, 2014
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28216685A IN
Family Nurse Practitioner 363LF0000X 28216685A IN Primary

Addresses

Primary practice location

1805 Calumet Ave
Valparaiso, IN 46383-3130

Mailing address

9 Woodruft Dr
Valparaiso, IN 46385-8155
Phone (269) 921-0116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140721001913 IN Practitioner - Nurse Practitioner 9537385950 Reassigns benefits to 2 organizations
I20250313001455 FL Practitioner - Nurse Practitioner 9537385950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, shared by 2 NPIs, 141 clinicians

Practice addresses (Care Compare)

1017 3Rd St
Columbus, IN 47201-6870
Phone (608) 977-7226

1430 N Gardner St
Scottsburg, IN 47170-8720
Phone (800) 683-8313

1520 Washington St
New Castle, IN 47362-4355
Phone (800) 683-8313

1919 State St
Suite 244
New Albany, IN 47150-6804
Phone (608) 977-7226

201 2ND St E
Bradenton, FL 34208-1030
Phone (800) 683-8313

590 Ironwood Dr
Franklin, IN 46131-7070
Phone (800) 683-8313

905 W Keegans Way
Suite 9
Greensburg, IN 47240-3403
Phone (800) 683-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28216685AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Indiana LLC CurrentSince Dec 13, 2017 Accepting new patients

Locations

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

4925 S Scatterfield Rd
#G
Anderson, IN 46013
Phone (765) 442-0402

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, 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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1194139956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WOODRUFT DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858155",
            "telephone_number": "269-921-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833130",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMBINE",
        "first_name": "ASHLEY",
        "middle_name": "L",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28216685A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28216685A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.