Katy Grismore, CPNP in Mooresville, IN - Medicare Nurse Practitioner

Katy Grismore, CPNP is a medicare enrolled "Nurse Practitioner" in Mooresville, Indiana. Her current practice location is 1001 Hadley Rd Ste Ll050, Mooresville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 834-3502.

Katy Grismore is licensed to practice in Indiana (license number 71006027A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740646520.

Contact Information

	Katy Grismore, CPNP
	1001 Hadley Rd Ste Ll050, Mooresville, IN 46158-1883
	(317) 834-3502
	(317) 834-3519

Map and Direction

Provider's Profile

Full Name	Katy Grismore
Gender	Female
Speciality	Nurse Practitioner
Location	1001 Hadley Rd Ste Ll050, Mooresville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740646520
Provider Enumeration Date: 01/08/2016
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0446555403
Enrollment ID: I20160229002563

Medical Identifiers

Medical identifiers for Katy Grismore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740646520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	28197474A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71006027A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katy Grismore allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katy Grismore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katy Grismore, CPNP Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Katy Grismore, CPNP 1001 Hadley Rd Ste Ll050, Mooresville, IN 46158-1883 Ph: (317) 834-3502

Reviews and Comments

Nurse Practitioner Nurses in Mooresville, IN

Cortney Michelle Riley, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Hadley Rd Ste 103, Mooresville, IN 46158 Phone: 765-961-5161
Gaynell S Pierson, MSN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Fields St, Mooresville, IN 46158 Phone: 317-584-0038 Fax: 317-834-5469
Britani N Frame, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 820 N Samuel Moore Pkwy, Mooresville, IN 46158 Phone: 317-483-5000 Fax: 317-483-5050
Janet R Perkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Fields St, Mooresville, IN 46158 Phone: 317-834-6678
Amy Jo King, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1205 Hadley Rd Ste 130, Mooresville, IN 46158 Phone: 317-831-9340 Fax: 317-834-4320
Kelly L. Prather, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1199 Hadley Rd Ste 100, Mooresville, IN 46158 Phone: 317-834-3263 Fax: 317-834-5194
Michelle Jackson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Fields St # De, Mooresville, IN 46158 Phone: 317-834-6678

Katy Grismore, CPNP - Medicare Nurse Practitioner in Mooresville, IN