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TEARA GRUBER
NPI 1316703663
Nurse Practitioner - Psychiatric/Mental Health in Dayton, OH

Active since February 26, 2024PECOS EnrolledAccepts Medicare Assignment
10881 YANKEE ST, DAYTON, OH 45458(513) 204-1910 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Teara Gruber NPPES

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

TEARA GRUBER (NPI 1316703663) is an individual psychiatric/mental health provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.0035921) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mason, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316703663
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTEARA GRUBER
Location Address10881 YANKEE STDayton, OH 45458-3574
Mailing Address3615 Socialville Foster Rd Ste CMason, OH 45040-9054
Phone(513) 204-1910
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 26, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1316703663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0035921
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN.371676 (OH)
10881 YANKEE ST, Dayton, OH 45458
Open in Google Maps ↗

Secondary Practice Location 1

Location 13615 Socialville Foster Rd Ste CMason, OH 45040-9054 · Phone (513) 204-1910

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teara Gruber 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 ID840632089
PECOS Enrollment IDI20240520003331
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.

Medicare Billing Reassignment

Medicare enrollment records show Teara Gruber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lee Side Wellness Associates, LLC
19 mi
Psychiatric/Mental Health
3615 SOCIALVILLE FOSTER RD, SUTIES A B C D
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 31 clinicians in this Medicare group
NPI 1841731510 (513) 204-1910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45458 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Teara Gruber's NPI number?

The NPI number for Teara Gruber is 1316703663. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Teara Gruber located?

Teara Gruber practices at 10881 Yankee St, Dayton, OH 45458. The listed phone number is (513) 204-1910.

What is Teara Gruber's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Teara Gruber enrolled in Medicare?

Yes. Teara Gruber 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.

Which organization bills Medicare for Teara Gruber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teara Gruber reassigns Medicare benefits to Lee Side Wellness Associates, LLC (Mason, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teara Gruber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teara Gruber accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Teara Gruber 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.

When was this NPI record last updated?

The NPPES record for Teara Gruber was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.