Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERTA R GRIDLEY AGACNP-BC
NPI 1750587457
Nurse Practitioner - Acute Care in Indianapolis, IN

Active since June 21, 2007PECOS Enrolled
8060 KNUE RD STE 110, INDIANAPOLIS, IN 46250(317) 842-7435 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 23, 2026, Nov 18, 2024, Oct 3, 2024 (3 updates tracked since 2024).

About Roberta R Gridley Agacnp-bc NPPES

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

ROBERTA R GRIDLEY AGACNP-BC (NPI 1750587457) is an individual acute care provider in Indianapolis, Indiana, licensed in Ohio (APRN.CNP.0037844) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750587457
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameROBERTA R GRIDLEYCredential: AGACNP-BC
Location Address8060 KNUE RD STE 110Indianapolis, IN 46250-1938
Mailing Address2212 E County Road 1150 NBatesville, IN 47006-8744 · (317) 374-4431
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 21, 2007
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1750587457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in OH · APRN.CNP.0037844✔ Licensed in IN · 2024085294
Also ListedRegistered NurseTaxonomy 163W00000X · License 28188662A (IN), RN.491585 (OH)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 27056431A (IN)
8060 KNUE RD STE 110, Indianapolis, IN 46250

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

Roberta R Gridley Agacnp-bc 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 ID8628504420
PECOS Enrollment IDI20241203003811
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
15 services13 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46250 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.

Licensed Practical Nurse
8060 KNUE RD STE 110
INDIANAPOLIS, IN 46250
Nurse's Aide
8060 KNUE RD STE 110
INDIANAPOLIS, IN 46250
Licensed Practical Nurse
8060 KNUE RD STE 110
INDIANAPOLIS, IN 46250
Licensed Practical Nurse
8060 KNUE RD STE 110
INDIANAPOLIS, IN 46250
Licensed Practical Nurse
8060 KNUE RD STE 110
INDIANAPOLIS, IN 46250
Licensed Practical Nurse
8060 KNUE RD STE 110
INDIANAPOLIS, IN 46250
Licensed Practical Nurse
8060 KNUE RD STE 110
INDIANAPOLIS, IN 46250
Licensed Practical Nurse
8060 KNUE RD STE 110
INDIANAPOLIS, IN 46250

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 Roberta Gridley's NPI number?

The NPI number for Roberta Gridley is 1750587457. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Roberta Gridley located?

Roberta Gridley practices at 8060 Knue Rd Ste 110, Indianapolis, IN 46250. The listed phone number is (317) 842-7435.

What is Roberta Gridley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Roberta Gridley enrolled in Medicare?

Yes. Roberta Gridley 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 Roberta Gridley accept?

Health plans from CareSource and Molina Healthcare list Roberta Gridley 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 Roberta Gridley was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.