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

Mr. Grant Michael Blauvelt, MSN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1477122711

Mr. Grant Michael Blauvelt, MSN, FNP-BC is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2021, 5 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

7900 W Jefferson Blvd Ste 201
Fort Wayne, IN 46804-4128
Phone: (260) 432-2297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71011228A (IN)

Record details

NPI number1477122711
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , FNP-BC
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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