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

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