GRACE ORTIZ
NPI 1104632579
Nurse Practitioner in Sacramento, CA

Active since December 10, 2024PECOS Enrolled
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: August 16, 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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grace Ortiz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

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 5 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.