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GRACE AN NURSE PRACTITIONER
NPI 1013447341
Nurse Practitioner - Family in Bronx, NY

Active since June 19, 2017PECOS Enrolled
111 E 210TH ST FL 2, BRONX, NY 10467(718) 920-7303(718) 652-6642 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2018, Jul 5, 2017, Jun 19, 2017 (3 updates tracked since 2017).

About Grace An Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE AN NURSE PRACTITIONER (NPI 1013447341) is an individual family provider in Bronx, New York, licensed in New York (F341274) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013447341
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE ANCredential: NURSE PRACTITIONER
Location Address111 E 210TH ST FL 2Bronx, NY 10467
Mailing Address539 Bloomfield Ave Ste 1Newark, NJ 07107-1385 · (735) 669-9009 · Fax (735) 666-6929
Phone(718) 920-7303
Fax(718) 652-6642
Sole ProprietorNo
Enumeration DateJune 19, 2017
Last NPPES UpdateJune 19, 20183 updates tracked since enumeration
✔ NPI 1013447341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F341274
111 E 210TH ST FL 2, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace An Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON MARIE MCKENNA PA-C
Physician Assistant
111 E 210TH ST FL 2
BRONX, NY 10467
Bronx County (718) 920-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace An's NPI number?

The NPI number for Grace An is 1013447341. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Grace An located?

Grace An practices at 111 E 210th St Fl 2, Bronx, NY 10467. The listed phone number is (718) 920-7303.

What is Grace An's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Grace An enrolled in Medicare?

Yes. Grace An is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace An was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.