MRS. JENNIFER ANN GROSSI NURSE PRACTITIONER
NPI 1669019717
Nurse Practitioner - Pediatrics in Indianapolis, IN

Q: What is Jennifer Grossi's NPI number?

The NPI number for Jennifer Grossi is 1669019717. It was assigned to this individual provider in the NPPES registry on December 9, 2019. The provider is also known as Jennifer Ann Maddox.

Q: What is Jennifer Grossi'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 Jennifer Grossi was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 09, 2019PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, RI 1134, INDIANAPOLIS, IN 46202(317) 944-8906(317) 944-9330 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Jennifer Ann Grossi Nurse Practitioner NPPES

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

MRS. JENNIFER ANN GROSSI NURSE PRACTITIONER (NPI 1669019717) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71003801) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1669019717

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. JENNIFER ANN GROSSICredential: NURSE PRACTITIONER

Location Address705 RILEY HOSPITAL DR, RI 1134Indianapolis, IN 46202-5109

Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 944-8906

Fax(317) 944-9330

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 9, 2019

Last NPPES UpdateDecember 10, 2019

✔ NPI 1669019717 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

License✔ Licensed in IN · 71003801

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Ann Maddox

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 and accepts Medicare assignment

Mrs. Jennifer Ann Grossi Nurse Practitioner 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 ID7214348614

PECOS Enrollment IDI20201116000750

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)