Organization Active NPI

Grace Wellness LLC

  • Health Service Clinic/Center
  • Bedford, IN
National Provider Identifier
1952127144
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GRACE WELLNESS LLC
Doing business as
Grace Wellness
Practice address
1301 7TH St
Bedford, IN 47421-2141
Phone
(812) 583-2561
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Amanda Napier, FNP-CNPI 1710708839
Title
Owner/Family Practitioner
Phone
(812) 583-2561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1301 7TH St
Bedford, IN 47421-2141

Mailing address

PO Box 1169
Bedford, IN 47421-1169

Other names 1

  • Grace Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260611001072 IN Part B Supplier - Clinic/Group Practice 6800368788 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2316379Grace Wellness LLC1301 7TH Street, Bedford, IN 47421Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

1301 7th St
Bedford, IN 47421
Phone (812) 583-2561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1952127144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1169",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474211169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 7TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474212141",
            "telephone_number": "812-583-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "NAPIER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/FAMILY PRACTITIONER",
        "authorized_official_telephone_number": "812-583-2561",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.