GRACE HEALING WELLNESS CENTER
NPI 1023804861
Clinic/Center - Mental Health (Including Community Mental Health Center) in Nottingham, MD
About Grace Healing Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE HEALING WELLNESS CENTER (NPI 1023804861) is a healthcare organization registered as a mental health (including community mental health center) in Nottingham, Maryland and active in the NPI registry since April 2025. The organization lists Raphael Gikonyo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Healing Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Healing Wellness Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Healing Wellness Center's NPI number?
The NPI number for Grace Healing Wellness Center is 1023804861. It was assigned to this organization in the NPPES registry on April 17, 2025.
Where is Grace Healing Wellness Center located?
Grace Healing Wellness Center is located at 8527 Rhuddlan Rd, Nottingham, MD 21236. The listed phone number is (443) 377-4672.
What is Grace Healing Wellness Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Grace Healing Wellness Center enrolled in Medicare?
Yes. Grace Healing Wellness Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Healing Wellness Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Grace Healing Wellness Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grace Healing Wellness Center was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Grace Healing Wellness Center · NPI 1023804861
Mental Health (Including Community Mental Health Center) organization in Nottingham, Maryland. Organization record, active in the CMS NPPES registry since April 17, 2025.
## Identity
- **NPI:** 1023804861 (Entity type: Organization)
- **Enumerated:** April 17, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Raphael Gikonyo, PRESIDENT
## Practice location
- **Address:** 8527 RHUDDLAN RD, Nottingham, MD 21236-2623
- **Phone:** (443) 377-4672
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1023804861) · Data from the CMS NPPES public registry.