ASHLEY L GRUMBINE NP-C
NPI 1194139956
Nurse Practitioner - Family in Valparaiso, IN

Q: What is Ashley Grumbine's NPI number?

The NPI number for Ashley Grumbine is 1194139956. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Q: What is Ashley Grumbine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Grumbine was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment

1805 CALUMET AVE, VALPARAISO, IN 46383(866) 389-2727 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ashley L Grumbine Np-c NPPES

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

ASHLEY L GRUMBINE NP-C (NPI 1194139956) is an individual family provider in Valparaiso, Indiana, licensed in Indiana (28216685A) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194139956

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLEY L GRUMBINECredential: NP-C

Location Address1805 CALUMET AVEValparaiso, IN 46383-3130

Mailing Address9 Woodruft DrValparaiso, IN 46385-8155 · (269) 921-0116

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 19, 2014

Last NPPES UpdateJuly 20, 2023

NPPES CertifiedJuly 20, 2023

✔ NPI 1194139956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 28216685A

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 28216685A (IN)

1805 CALUMET AVE, Valparaiso, IN 46383

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ashley L Grumbine Np-c 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 ID9537385950

PECOS Enrollment IDI20140721001913, I20250313001455

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

27 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services17 patients

Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month G2087

This treatment for opioid use disorder involves regular office visits for coordinated care, individual and group therapy. It aims to manage withdrawal symptoms, prevent relapse, and promote recovery. It's a 60-minute procedure, repeated monthly.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

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 14

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

FRANCES DENEAN LAKA NP-C

Nurse Practitioner (Family)