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

Riley Graber, PA

Individual provider Physician Assistant · NPI 1043036023

Riley Graber, PA is a Physician Assistant in South Bend, Indiana. Qualified in 2025, 1 year ago. Works from 5 locations.

Years since qualifying
1
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

610 N Michigan St Ste 400
South Bend, IN 46601-1081
Phone: (574) 647-8120
Fax: (574) 647-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1020 High Rd, Bremen, IN 46506-1093 — (574) 309-9967
  • 3220 Beacon Pkwy Ste 200, Granger, IN 46530-7196 — (574) 647-8788
  • 202 Lincolnway E Ste 201, Mishawaka, IN 46544-2079 — (574) 584-2812
  • 610 N Michigan St Ste 306, South Bend, IN 46601-1079 — (574) 647-6500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1043036023
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 25, 2024
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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