MS. ANNE K. GRUBER (PA-C) – Medical Physician Assistant, NPI 1255884581
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MS. ANNE K. GRUBER (PA-C)
1815 E Ireland Rd
South Bend, IN 466142845
Phone: (574) 647-1750
Fax: (574) 647-1748
Type: Location
6913 N Main St
Granger, IN 465308039
Phone: (574) 647-1500
Fax: (574) 243-4306
Type: Location
2222 Rieth Blvd
Suite 100
Goshen, IN 465265869
Phone: (574) 875-1200
Fax: (574) 875-0362
Type: Location
206 W Warren St
Middlebury, IN 465409410
Phone: (574) 237-9200
Fax: (574) 358-0157
Type: Location
2301, North Bendix Drive, South Bend, Saint Joseph County, Indiana, 46628, United States
STE 500
SOUTH BEND, IN 466283486
Phone: (574) 647-1675
Type: Location
1104 W BRISTOL ST
ELKHART, IN 465142114
Phone: (574) 333-2986
Fax: (574) 343-2077
Type: Location
3245 HEALTH DRIVE
SUITE 100
GRANGER, IN 465303245
Phone: (574) 647-1840
Type: Mailing
3301 COUNTY ROAD 6 E
ELKHART, IN 465147673
Phone: (574) 266-5342
Fax: (574) 266-5847
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-09-26
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 |
|---|---|---|---|---|
| I20220926002129 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 46614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN |
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