Mr Grant Michael Blauvelt, MSN, FNP-BC - Medicare Nurse Practitioner in Fort Wayne, IN

Mr Grant Michael Blauvelt, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lutheran Medical Group Llc and his current practice location is 7900 W Jefferson Blvd Ste 201, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-2297.

Mr Grant Michael Blauvelt is licensed to practice in Indiana (license number 71011228A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477122711.

Contact Information

Mr Grant Michael Blauvelt, MSN, FNP-BC
7900 W Jefferson Blvd Ste 201,
Fort Wayne, IN 46804-4128
(260) 432-2297
Not Available

Map and Direction




Provider's Profile

Full NameMr Grant Michael Blauvelt
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location7900 W Jefferson Blvd Ste 201, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Grant Michael Blauvelt graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1477122711
  • Provider Enumeration Date: 06/22/2021
  • Last Update Date: 12/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123421625
  • Enrollment ID: I20210721002301

Medical Identifiers

Medical identifiers for Mr Grant Michael Blauvelt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477122711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71011228A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkview Huntington HospitalHuntington, INHospital
Lutheran Hospital Of IndianaFort wayne, INHospital
Dupont Hospital LlcFort wayne, INHospital
Bluffton Regional Medical CenterBluffton, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lutheran Medical Group Llc4981751617264

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. Mr Grant Michael Blauvelt allows following entities to bill medicare on his behalf.
Entity NameLutheran Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164662805
PECOS PAC ID: 4981751617
Enrollment ID: O20090414000705

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. Mr Grant Michael Blauvelt 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 AddressPractice Location Address
Mr Grant Michael Blauvelt, MSN, FNP-BC
6920 Pointe Inverness Way Ste 200,
Fort Wayne, IN 46804-7934

Ph: (260) 479-3514
Mr Grant Michael Blauvelt, MSN, FNP-BC
7900 W Jefferson Blvd Ste 201,
Fort Wayne, IN 46804-4128

Ph: (260) 432-2297

Reviews and Comments


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Carrie Jean Boots, N.P.
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Phone: 260-469-6610    Fax: 260-969-3065

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.