GRACEY CARE AZ PC
NPI 1154295673
Nurse Practitioner - Family in Phoenix, AZ

Active since September 30, 2025
4539 N 22ND ST STE N, PHOENIX, AZ 85016(623) 226-4953 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gracey Care Az Pc NPPES

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

GRACEY CARE AZ PC (NPI 1154295673) is a healthcare organization registered as a family in Phoenix, Arizona and active in the NPI registry since September 2025. The organization lists Kfir Eyal, Coo, as its authorized official.

NPPES Registry Identity

NPI1154295673
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRACEY CARE AZ PC
Location Address4539 N 22ND ST STE NPhoenix, AZ 85016-4639
Mailing Address4539 N 22nd St Ste NPhoenix, AZ 85016-4639
Organization SubpartNo
Authorized OfficialKfir EyalCoo · (408) 601-9536
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1154295673 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
4539 N 22ND ST STE N, Phoenix, AZ 85016

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)

Gracey Care Az Pc 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 Gracey Care Az PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1578162822
6296 E GRANT RD STE 140
Tucson, AZ 85712
(520) 620-9770
✔ PECOS✔ Accepts Medicare110 mi

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 Gracey Care Az PC's NPI number?

The NPI number for Gracey Care Az PC is 1154295673. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Gracey Care Az PC located?

Gracey Care Az PC is located at 4539 N 22nd St Ste N, Phoenix, AZ 85016. The listed phone number is (623) 226-4953.

What is Gracey Care Az PC's specialty?

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

Is Gracey Care Az PC enrolled in Medicare?

Yes. Gracey Care Az PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gracey Care Az PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gracey Care Az PC. 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 Gracey Care Az PC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.