ROSHANDA GRAYSON-THOMAS APRN
NPI 1619415874
Nurse Practitioner - Psychiatric/Mental Health in Portage, IN

Active since February 08, 2017PECOS EnrolledAccepts Medicare Assignment
6050 STERLING CREEK RD, PORTAGE, IN 46368(219) 219-7638 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2020, Nov 4, 2020, Feb 8, 2017 (3 updates tracked since 2017).

About Roshanda Grayson-thomas Aprn NPPES

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

ROSHANDA GRAYSON-THOMAS APRN (NPI 1619415874) is an individual psychiatric/mental health provider in Portage, Indiana, licensed in Indiana (71010601A) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gary, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619415874
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameROSHANDA GRAYSON-THOMASCredential: APRN
Location Address6050 STERLING CREEK RDPortage, IN 46368-7752
Mailing Address6050 Sterling Creek RdPortage, IN 46368-7752 · (219) 763-8112
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 8, 2017
Last NPPES UpdateDecember 16, 20203 updates tracked since enumeration
NPPES CertifiedDecember 16, 2020
NPI 1619415874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in IN · 71010601A Licensed in IN · PENDING
Also ListedRegistered NurseTaxonomy 163W00000X · License 28201839A (IN)
6050 STERLING CREEK RD, Portage, IN 46368

Secondary Practice Location 1

Location 11100 W 6th AveGary, IN 46402-1711 · Phone (219) 885-4264

Accepted 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

Roshanda Grayson-thomas Aprn 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 ID7214342930
PECOS Enrollment IDI20221026000199, I20260106000734
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 46368 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.

Obstetrics & Gynecology
6050 STERLING CREEK RD
PORTAGE, IN 46368
Social Worker
6050 STERLING CREEK RD
PORTAGE, IN 46368
Family Medicine
6050 STERLING CREEK RD
PORTAGE, IN 46368
Registered Nurse (Women's Health Care, Ambulatory)
6050 STERLING CREEK RD
PORTAGE, IN 46368
Family Medicine
6050 STERLING CREEK RD
PORTAGE, IN 46368
Optometrist
6050 STERLING CREEK RD
PORTAGE, IN 46368
Chiropractor
6050 STERLING CREEK RD
PORTAGE, IN 46368
Chiropractor
6050 STERLING CREEK RD
PORTAGE, IN 46368

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 Roshanda Grayson-thomas's NPI number?

The NPI number for Roshanda Grayson-thomas is 1619415874. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Where is Roshanda Grayson-thomas located?

Roshanda Grayson-thomas practices at 6050 Sterling Creek Rd, Portage, IN 46368. The listed phone number is (219) 219-7638.

What is Roshanda Grayson-thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Roshanda Grayson-thomas enrolled in Medicare?

Yes. Roshanda Grayson-thomas 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.

What insurance does Roshanda Grayson-thomas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Roshanda Grayson-thomas 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 Roshanda Grayson-thomas was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.