KARLY ROSE GRUETT OD
NPI 1396599387
Optometrist in Mishawaka, IN

Active since April 15, 2024PECOS EnrolledAccepts Medicare Assignment
230 E DAY RD STE 100, MISHAWAKA, IN 46545(574) 271-3939 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2025, Jul 3, 2025, Apr 15, 2024 (3 updates tracked since 2024).

About Karly Rose Gruett Od NPPES

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

KARLY ROSE GRUETT OD (NPI 1396599387) is an individual optometrist in Mishawaka, Indiana, licensed in Indiana (18004596A) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396599387
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKARLY ROSE GRUETTCredential: OD
Location Address230 E DAY RD STE 100Mishawaka, IN 46545-3408
Mailing Address230 E Day Rd Ste 100Mishawaka, IN 46545-3408 · (574) 271-3939
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 15, 2024
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1396599387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18004596A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
230 E DAY RD STE 100, Mishawaka, IN 46545

Secondary Practice Locations 4

Location 12216 Cassopolis StElkhart, IN 46514-5133 · Phone (574) 261-2111 · Fax (574) 266-0555
Location 2319 N Niles Ave Ste 100South Bend, IN 46617-2328 · Phone (574) 282-2020 · Fax (574) 288-2020
Location 3320 Meadow LnPlymouth, IN 46563-9394 · Phone (574) 935-4480 · Fax (574) 941-2040
Location 41747 Stafford CtGoshen, IN 46526-6542 · Phone (574) 533-0100 · Fax (574) 534-8088

Accepted 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

Karly Rose Gruett Od 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 ID6406387018
PECOS Enrollment IDI20250717000885
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 Karly Gruett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
230 E DAY RD, 100
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 15 clinicians in this Medicare group

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 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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 7

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

Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Ophthalmology
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545

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 Karly Gruett's NPI number?

The NPI number for Karly Gruett is 1396599387. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Karly Gruett located?

Karly Gruett practices at 230 E Day Rd Ste 100, Mishawaka, IN 46545. The listed phone number is (574) 271-3939.

What is Karly Gruett's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Karly Gruett enrolled in Medicare?

Yes. Karly Gruett 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 Karly Gruett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karly Gruett reassigns Medicare benefits to Michiana Eye Center LLC (Mishawaka, IN). 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 Karly Gruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karly Gruett accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Karly Gruett 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 Karly Gruett was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.