GRACEFILLED LLC
NPI 1043191760
Clinic/Center in Gallatin, TN

Active since September 09, 2025
805 BAGGINS CT, GALLATIN, TN 37066(732) 423-4057 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gracefilled Llc NPPES

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

GRACEFILLED LLC (NPI 1043191760) is a healthcare organization registered as a clinic/center in Gallatin, Tennessee and active in the NPI registry since September 2025. The organization lists Maryjane Henshaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1043191760
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGRACEFILLED LLC
Location Address805 BAGGINS CTGallatin, TN 37066-0016
Mailing Address805 Baggins CtGallatin, TN 37066-0016
Organization SubpartNo
Authorized OfficialMaryjane HenshawOwner · (615) 602-5375
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1043191760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
805 BAGGINS CT, Gallatin, TN 37066

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gracefilled Llc 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 Gracefilled LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1124853320
510 PLAZA DR STE 170
Folsom, CA 95630
(916) 351-9400
✔ PECOS✔ Accepts Medicare1,900 mi

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 Gracefilled LLC's NPI number?

The NPI number for Gracefilled LLC is 1043191760. It was assigned to this organization in the NPPES registry on September 9, 2025.

Where is Gracefilled LLC located?

Gracefilled LLC is located at 805 Baggins Ct, Gallatin, TN 37066. The listed phone number is (732) 423-4057.

What is Gracefilled LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Gracefilled LLC enrolled in Medicare?

Yes. Gracefilled LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gracefilled LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gracefilled LLC. 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.

What insurance does Gracefilled LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Gracefilled LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gracefilled LLC was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.