SONIA GRACE (AGACNP-BC) – Family Nurse Practitioner, NPI 1457851628
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,241 NURSE PRACTITIONER in IN
Provider Addresses for SONIA GRACE (AGACNP-BC)
828 Raymon Dr
Seymour, IN 472742738
Phone: (470) 734-4518
Type: Location
675 JUSTICE WAY ROOM C0049
INDIANAPOLIS, IN 46203
Phone: (877) 465-6650
Fax: (804) 294-2775
Type: Location
1919 E 52nd St Ste 200
Indianapolis, IN 462051381
Phone: (317) 429-0120
Fax: (317) 800-7730
Type: Location
East 52nd Street, Lawrence, Indiana, United States
INDIANAPOLIS, IN 462051381
Phone: (317) 429-0120
Fax: (317) 800-7730
Type: Mailing
828 RAYMON DR
SEYMOUR, IN 472742738
Phone: (470) 734-4518
Type: Mailing
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: 2025-07-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20180322001417 | I | Nurse Practitioner | IN | TBD |
| I20250520004990 | I | Nurse Practitioner | VA | TBD |
| I20250529003895 | I | Nurse Practitioner | NM | TBD |
| I20250709000232 | I | Nurse Practitioner | MI | TBD |
| I20250718000444 | I | Nurse Practitioner | KY | 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 47274)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| P S Y C H I A T R Y | SC | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | TN |
Reviews
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