SONIA GRACE AGACNP-BC
NPI 1457851628
Nurse Practitioner - Family in Indianapolis, IN
About Sonia Grace Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SONIA GRACE AGACNP-BC (NPI 1457851628) is an individual family provider in Indianapolis, Indiana, licensed in Virginia (0024193179) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sonia Grace Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sonia Grace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glen Allen, VA 23059
- Reassigned Medicare billing, Indiana, Kentucky, Michigan, New Mexico and Virginia enrollments
- Medicare enrollment name: Holon Health Great Lakes PC
- 21 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 46203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46203
INDIANAPOLIS, IN 46203
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 Sonia Grace's NPI number?
The NPI number for Sonia Grace is 1457851628. It was assigned to this individual provider in the NPPES registry on February 14, 2018.
Where is Sonia Grace located?
Sonia Grace practices at 675 Justice Way Room C0049, Indianapolis, IN 46203. The listed phone number is (877) 465-6650.
What is Sonia Grace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sonia Grace enrolled in Medicare?
Yes. Sonia Grace is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sonia Grace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Grace reassigns Medicare benefits to Holon Health Great Lakes, P.C. (Glen Allen, VA). 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 Sonia Grace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sonia Grace accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Sonia Grace 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 Sonia Grace was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Sonia Grace, AGACNP-BC · NPI 1457851628
Family physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since February 14, 2018.
## Identity
- **NPI:** 1457851628 (Entity type: Individual)
- **Enumerated:** February 14, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024193179 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 675 JUSTICE WAY ROOM C0049, Indianapolis, IN 46203
- **Phone:** (877) 465-6650 · **Fax:** (804) 294-2775
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Holon Health Great Lakes, P.C. (NPI 1194414805, Glen Allen, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457851628) · Data from the CMS NPPES public registry.