Individual provider Active NPI

Brian Patrick Grimley, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1427736362
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28210534A Issued in IN
Practice address
1167 Wilson Dr
Greenwood, IN 46143-8221
Phone
(844) 457-5300
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28210534A IN Primary

Addresses

Primary practice location

1167 Wilson Dr
Greenwood, IN 46143-8221

Mailing address

2220 Surface Dr
Greenwood, IN 46143-8640
Phone (708) 705-1683

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28210534AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Indiana, Auditor of State CurrentSince Apr 8, 2024 Accepting new patients
State of Indiana, Auditor of State CurrentSince Apr 8, 2024 Accepting new patients
Aims, LLC CurrentSince Sep 1, 2023 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

3400 Lincoln Ave
Evansville, IN 47714
Phone (812) 469-6800

1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101

5435 E 16th St
Indianapolis, IN 46218
Phone (317) 941-4000

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

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, 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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1427736362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 SURFACE DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438640",
            "telephone_number": "708-705-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 WILSON DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438221",
            "telephone_number": "844-457-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMLEY",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28210534A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.