GRACE ORTIZ
NPI 1104632579
Nurse Practitioner in Sacramento, CA

Active since December 10, 2024PECOS EnrolledAccepts Medicare Assignment
8202 GARDENSIDE CT, SACRAMENTO, CA 95829(916) 544-1386 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grace Ortiz NPPES

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

GRACE ORTIZ (NPI 1104632579) is an individual nurse practitioner in Sacramento, California, licensed in California (F04250092) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104632579
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGRACE ORTIZ
Location Address8202 GARDENSIDE CTSacramento, CA 95829-9282
Mailing Address8202 Gardenside CtSacramento, CA 95829-9282 · (916) 544-1386
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 10, 2024
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1104632579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · F04250092
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8202 GARDENSIDE CT, Sacramento, CA 95829

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 Ortiz 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 ID7214424068
PECOS Enrollment IDI20251015000328
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 Ortiz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
10860 GOLD CENTER DR STE 255
Rancho Cordova, CA 95670
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Anesthesiology
1000 LINCOLN RD STE PMB 813
Yuba City, CA 95991
  • Reassigned Medicare billing, California enrollment
  • 5 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95829 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Ortiz's NPI number?

The NPI number for Grace Ortiz is 1104632579. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Where is Grace Ortiz located?

Grace Ortiz practices at 8202 Gardenside Ct, Sacramento, CA 95829. The listed phone number is (916) 544-1386.

What is Grace Ortiz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Grace Ortiz enrolled in Medicare?

Yes. Grace Ortiz 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 Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Ortiz reassigns Medicare benefits to 2 organizations: North Valley Specialty Group Inc. (Rancho Cordova, CA) and North Valley Medical Group LLC (Yuba City, CA). 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 Ortiz'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 Ortiz was last updated on February 26, 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.