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

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

Phone(219) 219-7638

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

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Secondary Practice Location 1

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Roshanda Grayson-thomas reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spero Health Of Indiana, LLC

144 mi

Addiction Medicine

7750 MADISON AVE
Indianapolis, IN 46227

Reassigned Medicare billing, Indiana enrollment
21 clinicians in this Medicare group

NPI 1962900183 (317) 933-8410

Affect Therapeutics Inc

521 mi

Rehabilitation, Substance Use Disorder

1001 RESEARCH PARK BLVD STE 100
Charlottesville, VA 22911

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1104402064 (845) 769-8758

Mendocino Community Health Clinic, Inc.

1,896 mi

Federally Qualified Health Center (FQHC)

1165 S DORA ST STE B1
Ukiah, CA 95482

Reassigned Medicare billing, California enrollment
121 clinicians in this Medicare group

NPI 1750809463 (707) 468-1010

Long Valley Health Center

1,899 mi

Clinic/Center

50 BRANSCOMB ROAD
Laytonville, CA 95454

Reassigned Medicare billing, California enrollment
27 clinicians in this Medicare group

NPI 1366467375 (707) 984-6131

Mendocino Coast Clinics, Inc.

1,920 mi

Federally Qualified Health Center (FQHC)

510 CYPRESS ST STE C-100
Fort Bragg, CA 95437

Reassigned Medicare billing, California enrollment
33 clinicians in this Medicare group

NPI 1285128595 (707) 961-3430

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 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.

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