GRACE PINTO CRNP
NPI 1104438696
Nurse Practitioner - Psychiatric/Mental Health in Pittsburgh, PA

Active since August 18, 2020PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
810 CLAIRTON BLVD STE 500600, PITTSBURGH, PA 15236(412) 650-1100 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2022, Aug 16, 2021, Aug 18, 2020 (3 updates tracked since 2020).

About Grace Pinto Crnp NPPES

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

GRACE PINTO CRNP (NPI 1104438696) is an individual psychiatric/mental health provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP022272) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104438696
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGRACE PINTOCredential: CRNP
Location Address810 CLAIRTON BLVD STE 500600Pittsburgh, PA 15236-5505
Mailing Address810 Clairton Blvd Ste 500600Pittsburgh, PA 15236-5505 · (412) 650-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 18, 2020
Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1104438696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP022272
Also ListedRegistered NurseTaxonomy 163W00000X · License RN696143 (PA)
810 CLAIRTON BLVD STE 500600, Pittsburgh, PA 15236

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

Grace Pinto Crnp 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.

PECOS PAC ID1052704491
PECOS Enrollment IDI20220208002112
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Grace Pinto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
810 CLAIRTON BLVD STE 500600
Pittsburgh, PA 15236
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 93 clinicians in this Medicare group
Same address
Internal Medicine
810 CLAIRTON BLVD STE 400
Pittsburgh, PA 15236
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Social Worker (Clinical)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Counselor (Mental Health)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Social Worker
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Counselor (Professional)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Counselor (Mental Health)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Nurse Practitioner (Family)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236
Social Worker (Clinical)
810 CLAIRTON BLVD STE 500600
PITTSBURGH, PA 15236

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 Pinto's NPI number?

The NPI number for Grace Pinto is 1104438696. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Grace Pinto located?

Grace Pinto practices at 810 Clairton Blvd Ste 500600, Pittsburgh, PA 15236. The listed phone number is (412) 650-1100.

What is Grace Pinto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Grace Pinto enrolled in Medicare?

Yes. Grace Pinto 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 organizations bill Medicare for Grace Pinto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Pinto reassigns Medicare benefits to 2 organizations: Jefferson Regional Medical Center (Pittsburgh, PA) and Allegheny Clinic (Pittsburgh, PA). Each 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 Grace Pinto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Pinto was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.