Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients521
Services billed 883 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Providence Health and Services Mt

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 358 clinicians in the practice; 12 are shown here.

Other providers in Gary