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

Roshanda Grayson-Thomas, APRN

Individual provider Registered Nurse · NPI 1619415874

Roshanda Grayson-Thomas, APRN is a Nurse Practitioner in Portage, Indiana. Qualified in 2020, 6 years ago. Practices with Mendocino Community Health Clinic Inc, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2017
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone: (219) 219-7638
Show map & directions

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

Additional practice locations (1)

  • 1100 W 6th Ave, Gary, IN 46402-1711 — (219) 885-4264

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71010601A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28201839A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence PENDING (IN)

Record details

NPI number1619415874
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedFebruary 8, 2017
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020
Mailing address6050 Sterling Creek Rd, Portage, IN 46368-7752

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mendocino Community Health Clinic Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portage