NICHOLE MARIE GRALIA CPNP
NPI 1619384617
Nurse Practitioner - Pediatrics in Indianapolis, IN

Q: What is Nichole Gralia's NPI number?

The NPI number for Nichole Gralia is 1619384617. It was assigned to this individual provider in the NPPES registry on July 22, 2014. The provider is also known as Nichole Marie Wenger.

Q: What is Nichole Gralia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Gralia was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 22, 2014PECOS Enrolled

705 RILEY HOSPITAL DR, RR 127, INDIANAPOLIS, IN 46202(317) 274-8906(317) 274-4022 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2021, Jan 25, 2016, Dec 16, 2015 and 1 more (4 updates tracked since 2015).

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About Nichole Marie Gralia Cpnp NPPES

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

NICHOLE MARIE GRALIA CPNP (NPI 1619384617) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71005090A) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619384617

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameNICHOLE MARIE GRALIACredential: CPNP

Location Address705 RILEY HOSPITAL DR, RR 127Indianapolis, IN 46202-5109

Mailing AddressPo Box 713577Chicago, IL 60677-0403

Phone(317) 274-8906

Fax(317) 274-4022

Sole ProprietorNo

Enumeration DateJuly 22, 2014

Last NPPES UpdateFebruary 26, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1619384617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

Licenses✔ Licensed in IN · 71005090A✔ Licensed in IN · 28184753A

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Names 1

Former Name (1)Nichole Marie Wenger

Other Identifiers 1

Medicaid201267240IN

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 (PECOS)

Nichole Marie Gralia Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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 20

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

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)