Individual provider Active NPI

Lindsey N Grady, PA-C

  • Medical Physician Assistant
  • Valparaiso, IN
National Provider Identifier
1689954828
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
01039449A Issued in IN
Practice address
1703 Calumet Ave
Valparaiso, IN 46383-3128
Phone
(219) 242-8415
Fax
(815) 744-3969
NPI assigned
Aug 19, 2011
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 01039449A IN Primary

Addresses

Primary practice location

1703 Calumet Ave
Valparaiso, IN 46383-3128

Mailing address

PO Box 734240
Chicago, IL 60673-4240
Phone (815) 744-8554

Other practice location 1

1601 Lafayette Rd Ste 100
Crawfordsville, IN 47933-1032
Phone (765) 362-1212

Other practice location 2

275 Joliet St Ste 225
Dyer, IN 46311-1789
Phone (219) 865-8800

Other practice location 3

275 Joliet St Ste 210
Dyer, IN 46311-1789
Phone (833) 257-7546

Other practice location 4

9120 Columbia Ave
Munster, IN 46321-2907
Phone (833) 257-7546

Other practice location 5

311 E 89th Ave
Merrillville, IN 46410-8162
Phone (833) 257-7546

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
I20121001000411 IN Practitioner - Physician Assistant 1153570429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

1703 Calumet Ave
Valparaiso, IN 46383-3128
Phone (815) 744-8554

3501 Enterprise Ave
Valparaiso, IN 46383-6953
Phone (815) 744-8554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01039449AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Plastic Surgery Associates, S.C. Medical PastSince Mar 1, 2004 Accepting new patients
Athens Medical Group, Inc Past Accepting new patients
Applegarth Dermatology PC Medical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lgrady@directaddress.net
  • Direct secure messaging: lindsey.grady@qdp.emadirect.md

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.

Hospital & facility affiliations 2

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1689954828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734240",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734240",
            "telephone_number": "815-744-8554",
            "fax_number": "630-495-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833128",
            "telephone_number": "219-242-8415",
            "fax_number": "815-744-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Lafayette Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479331032",
            "country_code": "US",
            "telephone_number": "765-362-1212",
            "fax_number": "765-361-0210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Joliet St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463111789",
            "country_code": "US",
            "telephone_number": "219-865-8800",
            "fax_number": "219-865-8908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Joliet St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463111789",
            "country_code": "US",
            "telephone_number": "833-257-7546",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9120 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212907",
            "country_code": "US",
            "telephone_number": "833-257-7546",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 E 89th Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464108162",
            "country_code": "US",
            "telephone_number": "833-257-7546",
            "fax_number": "630-495-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "LINDSEY",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "01039449A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.