GRACEFUL AGING LLC
NPI 1053883306
Nurse Practitioner - Gerontology in Las Cruces, NM

Q: What is Graceful Aging LLC's NPI number?

The NPI number for Graceful Aging LLC is 1053883306. It was assigned to this organization in the NPPES registry on December 27, 2018.

Q: What is Graceful Aging LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since December 27, 2018

2707 SPITZ ST, LAS CRUCES, NM 88005(575) 203-1477(575) 888-2444 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2026, Aug 2, 2021, Jul 30, 2021 and 2 more (5 updates tracked since 2018).

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About Graceful Aging Llc NPPES

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

GRACEFUL AGING LLC (NPI 1053883306) is a healthcare organization registered as a gerontology in Las Cruces, New Mexico and active in the NPI registry since December 2018. The organization lists Amy Elise Lopez, Owner, as its authorized official.

NPPES Registry Identity

NPI1053883306

Entity TypeOrganization

Primary Taxonomy363LG0600X

Legal Business NameGRACEFUL AGING LLC

Location Address2707 SPITZ STLas Cruces, NM 88005-1338

Mailing AddressPo Box 13426Las Cruces, NM 88013-3426 · (575) 203-1477 · Fax (575) 888-2444

Phone(575) 203-1477

Fax(575) 888-2444

Organization SubpartNo

Authorized OfficialAmy Elise LopezOwner · (575) 621-3390

Enumeration DateDecember 27, 2018

Last NPPES UpdateMarch 9, 20265 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1053883306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X

Also ListedTechnician, Pathology · PhlebotomyTaxonomy 246RP1900X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

2707 SPITZ ST, Las Cruces, NM 88005

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Other Identifiers 1

Medicaid12431265NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Graceful Aging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Graceful Aging LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Selene La Marca, AGACNP

Nurse Practitioner

NPI 1396176319

3900 E LOHMAN AVE STE B
Las Cruces, NM 88011

(575) 522-5752

✔ PECOS3.2 mi

Anna Tucker, PT

Physical Therapist in Private Practice

NPI 1497168447

1181 MALL DR
Las Cruces, NM 88011

(575) 522-0766

✔ Accepts Medicare3.2 mi

Amy Lopez, DNP

Nurse Practitioner

NPI 1619323284

4402 SUPERSTITION DR
Las Cruces, NM 88011

(575) 621-3390

✔ PECOS✔ Accepts Medicare6.4 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 Graceful Aging LLC's NPI number?

The NPI number for Graceful Aging LLC is 1053883306. It was assigned to this organization in the NPPES registry on December 27, 2018.

Where is Graceful Aging LLC located?

Graceful Aging LLC is located at 2707 Spitz St, Las Cruces, NM 88005. The listed phone number is (575) 203-1477.

What is Graceful Aging LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Graceful Aging LLC enrolled in Medicare?

Yes. Graceful Aging LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Graceful Aging LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Graceful Aging LLC, in Nurse Practitioner and Physical Therapist in Private Practice. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Graceful Aging LLC was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.