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KAREN GRIMLEY
NPI 1083014195
Social Worker - Clinical in Indianapolis, IN

Active since August 26, 2014PECOS EnrolledAccepts Medicare Assignment
93.89/100
CMS Quality Rating
1030 EAST COUNTY LINE ROAD, STE C-1, INDIANAPOLIS, IN 46227(317) 497-6290(317) 497-6290 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Grimley NPPES

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

KAREN GRIMLEY (NPI 1083014195) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34006611A) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1083014195
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKAREN GRIMLEY
Location Address1030 EAST COUNTY LINE ROAD, STE C-1Indianapolis, IN 46227-6291
Mailing Address6626 E 75th Street, Ste 500Indianapolis, IN 46250-2890 · (317) 621-7561 · Fax (317) 355-6096
Phone(317) 497-6290
Fax(317) 497-6290
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 26, 2014
Last NPPES UpdateNovember 9, 2020
NPPES CertifiedNovember 9, 2020
✔ NPI 1083014195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34006611A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1030 EAST COUNTY LINE ROAD, Indianapolis, IN 46227
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Other Identifiers 1

Other000000892097IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Grimley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335368893
PECOS Enrollment IDI20141108000152
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46227 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
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.13
Promoting Interoperability100
Improvement Activities40
Cost67.85

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Grimley's NPI number?

The NPI number for Karen Grimley is 1083014195. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Karen Grimley located?

Karen Grimley practices at 1030 East County Line Road Ste C-1, Indianapolis, IN 46227. The listed phone number is (317) 497-6290.

What is Karen Grimley's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Karen Grimley enrolled in Medicare?

Yes. Karen Grimley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Grimley accept?

Health plans from CareSource and UnitedHealthcare list Karen Grimley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Grimley affiliated with any hospitals?

According to CMS data, Karen Grimley is affiliated with Community Hospital East.

When was this NPI record last updated?

The NPPES record for Karen Grimley was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.