GRACE MEDICAL, PLLC
NPI 1053956060
Nurse Practitioner - Family in Rich Creek, VA

Active since November 13, 2019
120 OLD VIRGINIA AVE, RICH CREEK, VA 24147(540) 250-3778 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 25, 2023, Jan 23, 2020, Nov 13, 2019 (3 updates tracked since 2019).

About Grace Medical, Pllc NPPES

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

GRACE MEDICAL, PLLC (NPI 1053956060) is a healthcare organization registered as a family in Rich Creek, Virginia and active in the NPI registry since November 2019. The organization lists Ramona Boyer, Fnp/owner, as its authorized official.

NPPES Registry Identity

NPI1053956060
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRACE MEDICAL, PLLC
Location Address120 OLD VIRGINIA AVERich Creek, VA 24147-9669
Mailing Address895 W Spiller StWytheville, VA 24382-1725 · (540) 250-3778 · Fax (540) 944-4002
Organization SubpartNo
Authorized OfficialRamona BoyerFnp/owner · (540) 250-3778
Enumeration DateNovember 13, 2019
Last NPPES UpdateJanuary 25, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1053956060 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
120 OLD VIRGINIA AVE, Rich Creek, VA 24147

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Grace Medical, Pllc 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 Medical, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1871967257
120 OLD VIRGINIA AVE
Rich Creek, VA 24147
(540) 726-2328
✔ PECOS✔ Accepts MedicareSame address

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 Medical, PLLC's NPI number?

The NPI number for Grace Medical, PLLC is 1053956060. It was assigned to this organization in the NPPES registry on November 13, 2019.

Where is Grace Medical, PLLC located?

Grace Medical, PLLC is located at 120 Old Virginia Ave, Rich Creek, VA 24147. The listed phone number is (540) 250-3778.

What is Grace Medical, PLLC's specialty?

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

Is Grace Medical, PLLC enrolled in Medicare?

Yes. Grace Medical, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Medical, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Grace Medical, PLLC. 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 Medical, PLLC was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.