Individual provider Active NPI

Alana Grabovich, CNP

  • Family Nurse Practitioner
  • Marysville, OH
National Provider Identifier
1982376190
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029506 Issued in OH
Practice address
16705 Square Dr
Marysville, OH 43040-8476
Phone
(937) 400-2011
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 APRN.CNP.0029506 OH Primary

Addresses

Primary practice location

16705 Square Dr
Marysville, OH 43040-8476

Mailing address

11264 Winterberry Dr
Plain City, OH 43064-9391
Phone (740) 815-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20211021000933 OH Practitioner - Nurse Practitioner 4789072943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Synergy Medical LLCGroup PAC ID 8325314354, 4 clinicians

Practice addresses (Care Compare)

16705 Square Dr
Marysville, OH 43040-8476
Phone (937) 642-4400

6425 Post Rd
Suite 101
Dublin, OH 43016-1215
Phone (614) 760-5555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029506OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical, LLC CurrentSince Nov 1, 2021 Accepting new patients
Elevate Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Buckeye Sports and Family Chiropractice Center, Inc PastSince Oct 10, 2021 Accepting new patients

Locations

6425 Post Rd
Ste 101
Dublin, OH 43016
Phone (614) 760-5555

16705 Square Dr
Marysville, OH 43040
Phone (937) 400-2011

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1982376190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11264 WINTERBERRY DR",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430649391",
            "telephone_number": "740-815-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16705 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408476",
            "telephone_number": "937-400-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOVICH",
        "first_name": "ALANA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.