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MACKENZIE LINN GRIMAN PA-C
NPI 1740170968
Physician Assistant - Surgical in Elkhart, IN

Active since July 08, 2025PECOS EnrolledAccepts Medicare Assignment
500 ARCADE AVE STE 230, ELKHART, IN 46514(572) 522-6565 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie Linn Griman Pa-c NPPES

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

MACKENZIE LINN GRIMAN PA-C (NPI 1740170968) is an individual surgical provider in Elkhart, Indiana and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1740170968
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMACKENZIE LINN GRIMANCredential: PA-C
Location Address500 ARCADE AVE STE 230Elkhart, IN 46514-2485
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(572) 522-6565
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 8, 2025
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1740170968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
500 ARCADE AVE STE 230, Elkhart, IN 46514
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Secondary Practice Location 1

Location 1610 N Michigan St Ste 306South Bend, IN 46601-1079 · Phone (574) 647-6500 · Fax (574) 647-6518

Other Identifiers 1

Medicaid300118511IN

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.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

Mackenzie Linn Griman Pa-c 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 ID4385144716
PECOS Enrollment IDI20250821000507
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

MS. CHRISTINE ANKARET RULLO PAC
Physician Assistant
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
DR. WALTER HENRY HALLORAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
MELISSA MICHELLE TURNER
Physician Assistant
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
TOMMI ANDERSEN
Physician Assistant
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
TANNER C PEARSON
Physician Assistant
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
BEACON MEDICAL GROUP, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565
DR. AMJAD Q SYED MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 ARCADE AVE STE 230
ELKHART, IN 46514
Elkhart County (574) 522-6565

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 Mackenzie Griman's NPI number?

The NPI number for Mackenzie Griman is 1740170968. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Mackenzie Griman located?

Mackenzie Griman practices at 500 Arcade Ave Ste 230, Elkhart, IN 46514. The listed phone number is (572) 522-6565.

What is Mackenzie Griman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mackenzie Griman enrolled in Medicare?

Yes. Mackenzie Griman 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 Mackenzie Griman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Mackenzie Griman 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.

Is Mackenzie Griman affiliated with any hospitals?

According to CMS data, Mackenzie Griman is affiliated with Elkhart General Hospital.

When was this NPI record last updated?

The NPPES record for Mackenzie Griman was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.