Individual provider Active NPI

Andrew Bennett Grubb, NP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1609481738
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010472A Issued in IN
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

Updated by the provider on May 22, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008001034 IN Practitioner - Nurse Practitioner 0446679633 Reassigns benefits to 4 organizations

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
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians
Community Physician Network Urgent Care LLCGroup PAC ID 1052819869, 80 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

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

LicenseStateTypeSpecialty
71010472AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of in LLC Family CurrentSince Sep 14, 2020 Accepting new patients
Pic Indiana PC CurrentSince Dec 12, 2022 Accepting new patients
Community Physician Network Urgent Care LLC CurrentSince Oct 19, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 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

  • Direct secure messaging: andrew.grubb@krogerhealth.eclinicaldirectplus.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.