Individual provider Active NPI

John Grimshaw, FNP-C

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1902314958
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PENDING Issued in IN
Practice address
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone
(800) 566-5659
NPI assigned
Jan 11, 2018
Last updated
Jan 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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 PENDING IN Primary
Registered Nurse 163W00000X 28202216A IN

Addresses

Primary practice location

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Mailing address

14394 US Highway 6
Syracuse, IN 46567-9207
Phone (574) 529-1212

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
I20180207000937 IN Practitioner - Nurse Practitioner 0244590586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Fort Wayne Orthopaedics, LLCGroup PAC ID 7618965286, 65 clinicians

Practice addresses (Care Compare)

10106 Dupont Circle Dr E
Suite 150
Fort Wayne, IN 46825-1640
Phone (800) 566-5659

7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (260) 436-8686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28202216AINMDRegistered Nurse
PENDINGINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Current Accepting new patients
Fort Wayne Orthopaedics LLC Family CurrentSince Feb 16, 2018 Accepting new patients
Fort Wayne Orthopaedics, LLC CurrentSince Feb 16, 2018 Accepting new patients
Orthopaedics-Indianapolis, Inc. CurrentSince Jul 1, 2025 Accepting new patients

Locations

820 Smaltz Way
Ste B
Auburn, IN 46706
Phone (260) 432-1800

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825

2512 E DuPont Rd
Ste 110
Fort Wayne, IN 46825
Phone (260) 434-6076

7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254

8450 Northwest Blvd
Indianapolis, IN 46278

605 N Walnut St
North Manchester, IN 46962
Phone (219) 982-1994

1700 Alber St
Wabash, IN 46992
Phone (260) 563-9405

701 Orthopaedic Dr
Ste 100
Warsaw, IN 46582

701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582

Interoperability endpoints

  • Direct secure messaging: john.grimshaw.p1@direct.fwortho.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1902314958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14394 US HIGHWAY 6",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465679207",
            "telephone_number": "574-529-1212",
            "fax_number": "574-528-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044133",
            "telephone_number": "800-566-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMSHAW",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "PENDING",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28202216A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.