Individual provider Active NPI

Elissa Grider, APRN

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1598312415
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013685 Issued in KY
Practice address
1714 Charlestown New Albany Rd
Jeffersonville, IN 47130-9708
Phone
(812) 271-4240
Fax
(812) 670-5720
NPI assigned
Aug 26, 2019
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013093A IN
Family Nurse Practitioner 363LF0000X 3013685 KY Primary

Addresses

Primary practice location

1714 Charlestown New Albany Rd
Jeffersonville, IN 47130-9708

Mailing address

1714 Charlestown New Albany Rd
Jeffersonville, IN 47130-9708
Phone (812) 271-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, 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
I20191010002519 KY Practitioner - Nurse Practitioner 2365773074 Reassigns benefits to 1 organization
I20221013000387 IN Practitioner - Nurse Practitioner 2365773074 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
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

12903 Shelbyville Rd
Louisville, KY 40243-1538
Phone (502) 244-5827

3605 Northgate CT
Suite 110
New Albany, IN 47150-6400
Phone (812) 949-5749

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013093AINMDFamily Nurse Practitioner
3013685KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Family CurrentSince Oct 1, 2022 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

3605 Northgate Ct
Ste 110
New Albany, IN 47150
Phone (812) 949-5749

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9340 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-8431

Interoperability endpoints

  • Direct secure messaging: egrider177527@direct.nortonhealthcare.org

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1598312415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 CHARLESTOWN NEW ALBANY RD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309708",
            "telephone_number": "812-271-4240",
            "fax_number": "812-670-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 CHARLESTOWN NEW ALBANY RD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471309708",
            "telephone_number": "812-271-4240",
            "fax_number": "812-670-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIDER",
        "first_name": "ELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013093A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.