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GRACE FORT
NPI 1194522664
Physician Assistant - Medical in Pittsburgh, PA

Active since March 03, 2025PECOS Enrolled
4401 PENN AVE, PITTSBURGH, PA 15224(412) 692-5325 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Fort NPPES

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

GRACE FORT (NPI 1194522664) is an individual medical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA066415) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194522664
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGRACE FORT
Location Address4401 PENN AVEPittsburgh, PA 15224-1342
Mailing Address203 Summit Acres DrMars, PA 16046-1400
Phone(412) 692-5325
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 3, 2025
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1194522664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA066415
4401 PENN AVE, Pittsburgh, PA 15224
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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 Fort is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981116621
PECOS Enrollment IDI20250626002044
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.

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.

KARA MARIE MARANGONI CRNP
Nurse Practitioner (Neonatal, Critical Care)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5030
ALLISON WILLIAMS
Pediatrics
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
FRANCES FLEDDERMANN
Nurse Practitioner (Neonatal)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5030
PREETHA KEYA SINHA MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5325
CHRISTIN LAWLER DEAL M.D.
Allergy & Immunology
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (404) 226-4169
ANNA ELISA HEIPERTZ
Student in an Organized Health Care Education/Training Program
4401 PENN AVE, AOB BUILDING, SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
DANIELLE BROWNING
Pediatrics (Neonatal-Perinatal Medicine)
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
ADESH SURESH RANGANNA
Student in an Organized Health Care Education/Training Program
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5135

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 Fort's NPI number?

The NPI number for Grace Fort is 1194522664. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Grace Fort located?

Grace Fort practices at 4401 Penn Ave, Pittsburgh, PA 15224. The listed phone number is (412) 692-5325.

What is Grace Fort's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Grace Fort enrolled in Medicare?

Yes. Grace Fort is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Fort was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.