Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Grantsaris

Individual provider Family Nurse Practitioner · NPI 1922554831

Alexander Grantsaris is a Nurse Practitioner in Gary, Indiana. Qualified in 2016, 10 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Montana.

Years since qualifying
10
Licensed in
IN, MT
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

600 Grant St
Gary, IN 46402-6001
Phone: (219) 886-4289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3075 N Reserve St Ste Q, Missoula, MT 59808-1390 — (406) 327-1850

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28197039A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 115857 (MT)

Record details

NPI number1922554831
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2016
Last updated in NPPESAugust 22, 2019
Mailing address3662 Kingsway Dr, Crown Point, IN 46307-8936

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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