MRS. GRACE DIVINA ESMALLA APRN, PMHNP-BC
NPI 1225762057
Nurse Practitioner - Psychiatric/Mental Health in Frankfort, IL

Q: What is Grace Esmalla's NPI number?

The NPI number for Grace Esmalla is 1225762057. It was assigned to this individual provider in the NPPES registry on July 16, 2022.

Q: What is Grace Esmalla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grace Esmalla was last updated on July 16, 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.

Active since July 16, 2022PECOS EnrolledAccepts Medicare Assignment

10209 W LINCOLN HWY, FRANKFORT, IL 60423(708) 998-2979 Get Directions Write a Review

NPPES record last updated: July 16, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Grace Divina Esmalla Aprn, Pmhnp-bc NPPES

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

MRS. GRACE DIVINA ESMALLA APRN, PMHNP-BC (NPI 1225762057) is an individual psychiatric/mental health provider in Frankfort, Illinois, licensed in Illinois (209025438) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225762057

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. GRACE DIVINA ESMALLACredential: APRN, PMHNP-BC

Location Address10209 W LINCOLN HWYFrankfort, IL 60423-1279

Mailing Address10209 W Lincoln HwyFrankfort, IL 60423-1279 · (708) 998-2979

Phone(708) 998-2979

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 16, 2022

NPPES CertifiedJuly 16, 2022

✔ NPI 1225762057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209025438

10209 W LINCOLN HWY, Frankfort, IL 60423

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Grace Divina Esmalla Aprn, Pmhnp-bc 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 ID4880067297

PECOS Enrollment IDI20230306002755

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.

Areas of Expertise CMS Part B claims 3

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.

182 services30 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

112 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

43 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60423 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

Other Providers at the Same Location NPPES 10

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

ERIN RENEE HURLEY APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)