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

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: July 19, 2026.

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
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

Accepted 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.

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.

Chiropractor (Rehabilitation)
10209 W LINCOLN HWY
FRANKFORT, IL 60423
Chiropractor (Rehabilitation)
10209 W LINCOLN HWY
FRANKFORT, IL 60423
Social Worker
10209 W LINCOLN HWY
FRANKFORT, IL 60423
Clinic/Center (Multi-Specialty)
10209 W LINCOLN HWY
FRANKFORT, IL 60423
Nurse Practitioner (Psychiatric/Mental Health)
10209 W LINCOLN HWY
FRANKFORT, IL 60423
Nurse Practitioner (Psychiatric/Mental Health)
10209 W LINCOLN HWY
FRANKFORT, IL 60423
Nurse Practitioner (Psychiatric/Mental Health)
10209 W LINCOLN HWY
FRANKFORT, IL 60423
Physician Assistant
10209 W LINCOLN HWY
FRANKFORT, IL 60423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225762057, enumerated as an "individual" on July 16, 2022.

The provider is located at 10209 W LINCOLN HWY FRANKFORT, IL 60423 and the phone number is (708) 998-2979.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.