Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RILEY GRABER PA
NPI 1043036023
Physician Assistant in South Bend, IN

Q: What is Riley Graber's NPI number?

The NPI number for Riley Graber is 1043036023. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Q: What is Riley Graber's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Riley Graber was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 25, 2024PECOS Enrolled

610 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601(574) 647-8120(574) 647-8111 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Riley Graber Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RILEY GRABER PA (NPI 1043036023) is an individual physician assistant in South Bend, Indiana and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043036023

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameRILEY GRABERCredential: PA

Location Address610 N MICHIGAN ST STE 400South Bend, IN 46601-1081

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725

Phone(574) 647-8120

Fax(574) 647-8111

Sole ProprietorNo

Enumeration DateNovember 25, 2024

Last NPPES UpdateJuly 20, 2026

NPPES CertifiedJuly 20, 2026

✔ NPI 1043036023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

610 N MICHIGAN ST STE 400, South Bend, IN 46601

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Secondary Practice Locations 4

Location 1202 Lincolnway E Ste 201Mishawaka, IN 46544-2079 · Phone (574) 584-2812 · Fax (574) 584-2813

Location 2610 N Michigan St Ste 306South Bend, IN 46601-1079 · Phone (574) 647-6500 · Fax (574) 647-6518

Location 31020 High RdBremen, IN 46506-1093 · Phone (574) 309-9967 · Fax (574) 309-9968

Location 43220 Beacon Pkwy Ste 200Granger, IN 46530-7196 · Phone (574) 647-8788 · Fax (574) 647-3321

Other Identifiers 1

Medicaid300131065IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riley Graber Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAYANK KUMAR MITTAL MD

Internal Medicine (Interventional Cardiology)