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

GRACE REWOLINSKI OD
NPI 1891684551
Optometrist in Jasper, IN

Active since June 30, 2025PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Jun 30, 2025 (2 updates tracked since 2025).

About Grace Rewolinski Od NPPES

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

GRACE REWOLINSKI OD (NPI 1891684551) is an individual optometrist in Jasper, Indiana, licensed in Indiana (18004598A) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891684551
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameGRACE REWOLINSKICredential: OD
Location Address501 CLAY STJasper, IN 47546-3125
Mailing Address1407 Abby LnHuntingburg, IN 47542-0189 · (765) 713-6971
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 30, 2025
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1891684551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18004598A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
501 CLAY ST, Jasper, IN 47546

Accepted 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

Grace Rewolinski Od 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 ID9739688029
PECOS Enrollment IDI20250814003300
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

2

Medicare enrollment records show Grace Rewolinski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
501 CLAY ST
Jasper, IN 47546
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Clay Street Eyecare PC
  • 2 clinicians in this Medicare group
Optometrist
1221 S CREASY LN STE A
Lafayette, IN 47905
  • Reassigned Medicare billing, Indiana enrollment
  • 40 clinicians in this Medicare group

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 47546 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 4

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

Optometrist
501 CLAY ST
JASPER, IN 47546
Optometrist
501 CLAY ST
JASPER, IN 47546
Optometrist
501 CLAY ST
JASPER, IN 47546
Optometrist
501 CLAY ST
JASPER, IN 47546

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 Grace Rewolinski's NPI number?

The NPI number for Grace Rewolinski is 1891684551. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Grace Rewolinski located?

Grace Rewolinski practices at 501 Clay St, Jasper, IN 47546. The listed phone number is (812) 482-6010.

What is Grace Rewolinski's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Grace Rewolinski enrolled in Medicare?

Yes. Grace Rewolinski 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.

Which organizations bill Medicare for Grace Rewolinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Rewolinski reassigns Medicare benefits to 2 organizations: Clay Street Eyecare P.C. (Jasper, IN) and Evans Eye Care Inc (Lafayette, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Rewolinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Rewolinski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 6 other insurers list Grace Rewolinski 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 Grace Rewolinski was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.