Individual provider Active NPI

Patricia Brown-Grayson, APRN

  • Family Nurse Practitioner
  • Dillsboro, IN
National Provider Identifier
1205348489
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012469A Issued in IN
Practice address
12803 Lenover St
Dillsboro, IN 47018-9418
Phone
(812) 423-5226
NPI assigned
Oct 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 71012469A IN Primary

Addresses

Primary practice location

12803 Lenover St
Dillsboro, IN 47018-9418

Mailing address

PO Box 735376
Chicago, IL 60673-5376

Other practice location 1

5500 Verulam Ave
Cincinnati, OH 45213-2418
Phone (513) 841-3001

Other names 1

  • Patricia Grayson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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
I20200103002346 OH Practitioner - Nurse Practitioner 2961836689 Reassigns benefits to 3 organizations
I20220426002978 IN Practitioner - Nurse Practitioner 2961836689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karefirst Indiana PCGroup PAC ID 4587968862, 15 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karefirst Indiana PC Nurse Practitioner CurrentSince Jan 16, 2023 Accepting new patients
Lifelong Wellness of Ohio LLC CurrentSince Dec 18, 2025 Accepting new patients
Ohio Musculoskeletal Sports and Spine Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Post Acute Telehealth PC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Transitions Health Network LLC Family Past Accepting new patients

Locations

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

12803 Lenover St
Dillsboro, IN 47018
Phone (812) 432-5226

405 Rio Vista Ln
Rising Sun, IN 47040
Phone (812) 438-2219

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

4700 Ashwood Dr
Ste 200
Blue Ash, OH 45241
Phone (800) 989-7337

5500 Verulam Ave
Cincinnati, OH 45213
Phone (513) 531-6444

1 Elizabeth Pl
Dayton, OH 45417
Phone (937) 424-8200

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

31054 State Route 93
Mc Arthur, OH 45651
Phone (732) 691-0470

Organizations & group practices 5

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": "1509148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1205348489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735376",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12803 LENOVER ST",
            "city": "DILLSBORO",
            "state": "IN",
            "postal_code": "470189418",
            "telephone_number": "812-423-5226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Verulam Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452132418",
            "country_code": "US",
            "telephone_number": "513-841-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-GRAYSON",
        "first_name": "PATRICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-28",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012469A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GRAYSON",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dillsboro, IN

Sources for this page

Verify at the official NPI Registry.