Active NPI
Nicholas James Grala, MSN, RN
- Nurse Practitioner
- Plainwell, MI
National Provider Identifier
1295696763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704253681
- Practice address
- 11611 Pine Lake Rd
Plainwell, MI 49080-9225 - Phone
- (269) 664-9564
- NPI assigned
- Nov 22, 2025
- Last updated
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704253681 | MI | Primary |
Addresses
Primary practice location
11611 Pine Lake Rd
Plainwell, MI 49080-9225
Mailing address
11611 Pine Lake Rd
Plainwell, MI 49080-9225
Phone (269) 664-9564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704253681 | MI | MD | College Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1295696763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11611 PINE LAKE RD",
"city": "PLAINWELL",
"state": "MI",
"postal_code": "490809225",
"telephone_number": "269-664-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11611 PINE LAKE RD",
"city": "PLAINWELL",
"state": "MI",
"postal_code": "490809225",
"telephone_number": "269-664-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRALA",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"credential": "MSN, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-22",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704253681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainwell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.