Individual provider Active NPI

Grace Horrall, PA

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1891306106
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10003232A Issued in IN
Practice address
1260 City Center Dr
Carmel, IN 46032-3810
Phone
(463) 333-8426
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003232A IN Primary
Physician Assistant 363A00000X 0010-10904 NC

Addresses

Primary practice location

1260 City Center Dr
Carmel, IN 46032-3810

Mailing address

3346 Eden Village PL
Carmel, IN 46033-3014
Phone (317) 509-3692

Other practice location 1

4141 Shore Dr
Indianapolis, IN 46254-2607
Phone (317) 329-2000

Other practice location 2

950 Park East Blvd
Lafayette, IN 47905-0792
Phone (765) 447-4040

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 30, 2022 through Nov 30, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-10904NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1891306106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3346 EDEN VILLAGE PL",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460333014",
            "telephone_number": "317-509-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 CITY CENTER DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323810",
            "telephone_number": "463-333-8426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462542607",
            "country_code": "US",
            "telephone_number": "317-329-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Park East Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479050792",
            "country_code": "US",
            "telephone_number": "765-447-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORRALL",
        "first_name": "GRACE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003232A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.