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

Grant Wysong

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1699652545

Grant Wysong is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2025, 1 year ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
Specialties on file
2

Practice location Address checks out

7250 Clearvista Dr Ste 355
Indianapolis, IN 46256-5609
Phone: (317) 621-6262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Nurse Practitioner (primary) Taxonomy 363LC0200X · Licence 71016996A (IN)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 28222590A (IN)

Record details

NPI number1699652545
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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