Olivia Grayce Tack, M.D.
Pediatrics Physician · Granger, IN
Olivia Grayce Tack, M.D. is a pediatrics physician with a practice address in Granger, Indiana, and NPI 1255371514, issued on Jun 7, 2006. Check the license (Indiana 01062281A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Olivia Grayce Tack
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 01062281A IN
Self-reported in NPPES; status is on the state search - Practice location
- 6913 N Main St Ste 200, Granger, IN 46530
- Phone
- (574) 647-4540
- Enumerated
- Jun 7, 2006
- Record last updated
- Nov 24, 2025
- Fax
- (574) 647-2567
- Medicaid ID
- 200828650 IN
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 1,136 in Indiana → Look up another NPI →
Also registered at 6913 N Main St Ste 200
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sherri Biever, FNPFamily Nurse Practitioner1982691747
- Shanna Kautzmann, M.D.Pediatrics Physician1134214240
- Madison Parker, NPFamily Nurse Practitioner1407580533
- Nancy Pudlo, MDPediatrics Physician1467610352
Verify Olivia Grayce Tack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01062281ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $492.20
23 payments; by number, the most common kind was food and beverage; the largest payer was Corium, LLC. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Olivia Grayce Tack among 1,136 pediatrics physician records in Indiana
Olivia Grayce Tack, M.D. is one of 1,136 pediatrics physician records with a practice address in Indiana. 43% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 52% newer
- In a Medicare fileYes · 43% of these records are
- In the CMS Doctors and Clinicians fileNo · 12% of these records are
- Record last updated2025 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
11 pediatrics physician records list a practice address in Granger
They are 11 of the 395 NPPES records with a practice address in Granger, and 1,136 pediatrics physician records in Indiana.
All 1,136 in Indiana → Every provider in Granger → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Daniel Barrett, MDGranger, IN 465301972593440
- Barbara Calhoun, RN, PNPGranger, IN 465301992643373
- Karen Davis, M.D.Granger, IN 465301326070236
- Sibil Gill, DOGranger, IN 465301124656731
- Melissa Hickey, M.D.Granger, IN 465301902004872
- Mikael HowardGranger, IN 465301114243573
- Michael Hudson, M.D.Granger, IN 465301548258742
- Charisse Johnson, MDGranger, IN 465301134399025
Common questions
What is Olivia Grayce Tack, M.D.'s NPI number?
Olivia Grayce Tack, M.D.'s National Provider Identifier (NPI) is 1255371514, issued on Jun 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Olivia Grayce Tack, M.D. located?
The NPPES record lists a practice address at 6913 N Main St Ste 200, Granger, IN, 46530. Phone: (574) 647-4540. Providers update this record themselves, so call before visiting.
How can I verify Olivia Grayce Tack, M.D.'s license?
NPPES lists Indiana license number 01062281A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.