JILL ANN GRANT (MD) – Emergency Medicine Physician, NPI 1124002878
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,266 EMERGENCY MEDICINE in IN
Provider Addresses for JILL ANN GRANT (MD)
5627 SHOOTINGSTAR LANE
WEST LAFAYETTE, IN 47906
Phone: (765) 446-0170
Type: Mailing
114 EXECUTIVE DRIVE, SUITE E
LAFAYETTE, IN 47905
Phone: (765) 446-0170
Type: Location
114 Executive Drive, Suite E
Lafayette, IN 47905
Phone: (765) 446-0170
Type: Location
2401 W UNIVERSITY AVE
MUNCIE, IN 473033428
Phone: (765) 747-3111
Fax: (317) 963-5492
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Exact Sciences Corporation ($31).
Total Amount
$64
General + Research + Ownership
Payments
4
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $31 |
| Lilly USA, LLC | $17 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070613000059 | I | Emergency Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47906)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| Emergency Medicine | IN | |
| Emergency Medicine | WA | |
| Emergency Medicine | MO | |
| Emergency Medicine | MI | |
| Emergency Medicine | OH | |
| Emergency Medicine | WI | |
| Family Practice, Emergency Medicine | KY | |
| Emergency Medicine | FL | |
| Emergency Medicine | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.