TABATHA GRACE
NPI 1104402338
Nurse Practitioner - Family in Show Low, AZ
About Tabatha Grace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABATHA GRACE (NPI 1104402338) is an individual family provider in Show Low, Arizona, licensed in Arizona (254322) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tabatha Grace is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Tabatha Grace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Show Low, AZ 85901
- Reassigned Medicare billing, Arizona enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHOW LOW, AZ 85901
SHOW LOW, AZ 85901
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 Tabatha Grace's NPI number?
The NPI number for Tabatha Grace is 1104402338. It was assigned to this individual provider in the NPPES registry on March 18, 2021.
Where is Tabatha Grace located?
Tabatha Grace practices at 1500 S White Mountain Rd Bldg 3, Show Low, AZ 85901. The listed phone number is (928) 532-5838.
What is Tabatha Grace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tabatha Grace enrolled in Medicare?
Yes. Tabatha Grace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Tabatha Grace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tabatha Grace reassigns Medicare benefits to Changepoint Integrated Health (Show Low, AZ). The 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 Tabatha Grace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tabatha Grace accept?
Health plans from Blue Cross Blue Shield of Arizona list Tabatha Grace 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 Tabatha Grace was last updated on March 9, 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.
# Tabatha Grace · NPI 1104402338
Family physician in Show Low, Arizona. Individual provider, active in the CMS NPPES registry since March 18, 2021.
## Identity
- **NPI:** 1104402338 (Entity type: Individual)
- **Enumerated:** March 18, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 254322 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S WHITE MOUNTAIN RD BLDG 3, Show Low, AZ 85901-7111
- **Phone:** (928) 532-5838
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Changepoint Integrated Health (NPI 1689212508, Show Low, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104402338) · Data from the CMS NPPES public registry.