MARY GREENWALT
NPI 1417475450
Nurse Practitioner - Family in Greenfield, IN

Q: What is Mary Greenwalt's NPI number?

The NPI number for Mary Greenwalt is 1417475450. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Q: What is Mary Greenwalt'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 Mary Greenwalt was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 30, 2017PECOS EnrolledAccepts Medicare Assignment

300 E BOYD AVE STE 201, GREENFIELD, IN 46140(317) 462-5112 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2026, Feb 20, 2023, Jun 11, 2021 and 2 more (5 updates tracked since 2017).

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About Mary Greenwalt NPPES

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

MARY GREENWALT (NPI 1417475450) is an individual family provider in Greenfield, Indiana, licensed in Indiana (71007479A) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417475450

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY GREENWALT

Location Address300 E BOYD AVE STE 201Greenfield, IN 46140-2818

Mailing Address1100 Reid PkwyRichmond, IN 47374-1157 · (765) 983-3127 · Fax (654) 983-3219

Phone(317) 462-5112

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2017

Enumeration DateAugust 30, 2017

Last NPPES UpdateJanuary 29, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1417475450 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 · 71007479A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28145063A (IN)

300 E BOYD AVE STE 201, Greenfield, IN 46140

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Secondary Practice Locations 2

Location 11100 Reid Pkwy Ste 215Richmond, IN 47374-1157 · Phone (765) 939-9331 · Fax (765) 939-9314

Location 21400 N Ritter Ave Ste 520Indianapolis, IN 46219-3052 · Phone (317) 355-1234

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Mary Greenwalt 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 ID8921372699

PECOS Enrollment IDI20170919001538

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

140 services112 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.

40 services37 patients

Hospital Affiliations CMS Care Compare

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

Reid Health

Acute Care Hospitals · Richmond, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150048

Location1100 Reid PkwyRichmond, IN 47374 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46140 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 8

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

THOMAS JAY FAILINGER MD

Internal Medicine (Cardiovascular Disease)