DR. CARRIE LYNN GRADY (M.D.) – Family Medicine Physician, NPI 1548484165

DR. CARRIE LYNN GRADY (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 37515 (IA). The NPI Number for DR. CARRIE LYNN GRADY (M.D.) is 1548484165

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARRIE LYNN GRADY (M.D.)
NPI
1548484165
Phone
(402) 717-4377
Address
PO BOX 642117
Enumeration Date
13 April 2007
Last Update Date
9 January 2008

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7126422784
Graduation Year
2005 (21 years ago)
PAC ID
4880773274
Group Practice PAC ID
3678482130
Professional Enrollment ID
I20080509000656
Address ID
IA515551102MI631XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

Provider Addresses for DR. CARRIE LYNN GRADY (M.D.)

  • PO BOX 642117

    OMAHA, NE 681648117

    Phone: (402) 717-4377

    Fax: (402) 717-4317

    Type: Mailing

  • 122 W 8TH ST

    ALEGENT HEALTH

    LOGAN, IA 515461416

    Phone: (712) 644-3288

    Fax: (712) 644-2549

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $949.

Total Amount is formed as General ($949) + Research ($0) + Ownership ($0) = $949.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Lilly USA, LLC ($248).

Total Amount

$949

General + Research + Ownership

Payments

61

Total payment records

General Amount

$949

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-05-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080509000656IFamily PracticeIATBD

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.

Verify on CMS Revalidation Lookup Tool

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 68164)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678482130View full group profile
NameSpecialtyState
Nurse PractitionerND
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeNE
Nurse PractitionerIA
General SurgeryIA
Physician AssistantIA
Family PracticeNE
Emergency MedicineIA
Family PracticeNE

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CARRIE LYNN GRADY (M.D.)?
DR. CARRIE LYNN GRADY (M.D.) — NPI 1548484165 — is the standard way to identify this listing.
Does the file indicate DR. CARRIE LYNN GRADY (M.D.) is practicing under active NPI?
Directory data currently reports DR. CARRIE LYNN GRADY (M.D.) as active.
What healthcare role does DR. CARRIE LYNN GRADY (M.D.) hold?
Scheduling teams often label DR. CARRIE LYNN GRADY (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CARRIE LYNN GRADY (M.D.) on a map?
Expect Omaha, Nebraska as a primary anchor for DR. CARRIE LYNN GRADY (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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