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KATY GRISMORE CPNP
NPI 1740646520
Nurse Practitioner in Mooresville, IN

Active since January 08, 2016PECOS Enrolled
1001 HADLEY RD STE LL050, MOORESVILLE, IN 46158(317) 834-3502(317) 834-3519 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Mar 20, 2021, Dec 29, 2018 (3 updates tracked since 2018).

About Katy Grismore Cpnp NPPES

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

KATY GRISMORE CPNP (NPI 1740646520) is an individual nurse practitioner in Mooresville, Indiana, licensed in Indiana (71006027A) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740646520
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATY GRISMORECredential: CPNP
Location Address1001 HADLEY RD STE LL050Mooresville, IN 46158-1883
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(317) 834-3502
Fax(317) 834-3519
Sole ProprietorNo
Enumeration DateJanuary 8, 2016
Last NPPES UpdateJuly 31, 20233 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
✔ NPI 1740646520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71006027A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 28197474A (IN)
1001 HADLEY RD STE LL050, Mooresville, IN 46158
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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 (PECOS)

Katy Grismore 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46158 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.

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 Katy Grismore's NPI number?

The NPI number for Katy Grismore is 1740646520. It was assigned to this individual provider in the NPPES registry on January 8, 2016.

Where is Katy Grismore located?

Katy Grismore practices at 1001 Hadley Rd Ste Ll050, Mooresville, IN 46158. The listed phone number is (317) 834-3502.

What is Katy Grismore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katy Grismore enrolled in Medicare?

Yes. Katy Grismore is registered in the Medicare PECOS enrollment system.

What insurance does Katy Grismore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Katy Grismore 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 Katy Grismore was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.