Active NPI
Andrew Bennett Grubb, NP-C
- Family Nurse Practitioner
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71010472A
- Practice address
- 5350 E Thompson Rd
Indianapolis, IN 46237-2059 - Phone
- (317) 412-3792
- NPI assigned
- Sep 15, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71010472A | IN | Primary |
Addresses
Primary practice location
5350 E Thompson Rd
Indianapolis, IN 46237-2059
Mailing address
5350 E Thompson Rd
Indianapolis, IN 46237-2059
Phone (317) 412-3792
Other practice location 1
8177 Clearvista Pkwy Ste 100
Indianapolis, IN 46256-1662
Phone (317) 621-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5350 E Thompson Rd
Indianapolis, IN 46237-2059
Phone (317) 396-0814
8177 Clearvista Pkwy
Suite 100
Indianapolis, IN 46256-1662
Phone (317) 621-7800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010472A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Clinic of in LLC | Family | Current | Accepting new patients |
| Pic Indiana PC | Current | Accepting new patients | |
| Community Physician Network Urgent Care LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305
815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800
5350 E Thompson Rd
Indianapolis, IN 46237
Phone (317) 396-0814
4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224
1245 E Ireland Rd
#B
South Bend, IN 46614
Phone (574) 312-7022
Interoperability endpoints
- andrew.grubb@krogerhealth.eclinicaldirectplus.com
- agrubb564895@ecommunitydirect.com
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1487444782
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Family Nurse Practitioner
- Floyds Knobs, IN
- NPI 1558791384
-
- Urgent Care Clinic/Center
- Mishawaka, IN
- NPI 1942546890
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1609481738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 E THOMPSON RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372059",
"telephone_number": "317-412-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 E THOMPSON RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462372059",
"telephone_number": "317-412-3792"
}
],
"practiceLocations": [
{
"address_1": "8177 Clearvista Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462561662",
"country_code": "US",
"telephone_number": "317-621-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUBB",
"first_name": "ANDREW",
"middle_name": "BENNETT",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71010472A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.