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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nichole Gralia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Pediatric Associates, Inc.
Same address
Pediatrics
705 RILEY HOSPITAL DR, RR 127
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1457396541 (317) 777-6435
Iu Health Medical Group, LLC
1.3 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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 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)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 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.

Where is Nichole Gralia located?

Nichole Gralia practices at 705 Riley Hospital Dr Rr 127, Indianapolis, IN 46202. The listed phone number is (317) 274-8906.

What is Nichole Gralia's specialty?

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

Is Nichole Gralia enrolled in Medicare?

Yes. Nichole Gralia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nichole Gralia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Gralia reassigns Medicare benefits to 2 organizations: University Pediatric Associates, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each 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 Nichole Gralia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichole Gralia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Nichole Gralia 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 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 7 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.