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GRACE SO
NPI 1245196716
Nurse Practitioner in Columbia, MD

Active since December 29, 2025PECOS EnrolledAccepts Medicare Assignment
6334 CEDAR LN STE 103, COLUMBIA, MD 21044(310) 531-2355 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace So NPPES

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

GRACE SO (NPI 1245196716) is an individual nurse practitioner in Columbia, Maryland, licensed in Maryland (R231800) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and is a graduate of University Of Maryland School Of Medicine (2025).

NPPES Registry Identity

NPI1245196716
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGRACE SO
Location Address6334 CEDAR LN STE 103Columbia, MD 21044-4172
Mailing Address6334 Cedar Ln Ste 103Columbia, MD 21044-4172 · (410) 531-2355
Phone(310) 531-2355
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2025
Enumeration DateDecember 29, 2025
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1245196716 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 MD · R231800
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.
6334 CEDAR LN STE 103, Columbia, MD 21044
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace So 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 ID4880176809
PECOS Enrollment IDI20260306003644
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.

Medicare Billing Reassignment

Medicare enrollment records show Grace So reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Physician Care, LLC
Same address
Specialist
6334 CEDAR LN STE 103
Columbia, MD 21044
  • Reassigned Medicare billing, Maryland enrollment
  • 15 clinicians in this Medicare group
NPI 1326274853 (410) 531-2355

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21044 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 7

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

MRS. KATHRYN ELEANOR SCALLION CRNP
Nurse Practitioner (Family)
6334 CEDAR LN STE 103
COLUMBIA, MD 21044
Howard County (410) 531-2355
YE RAE CHO
Nurse Practitioner (Adult Health)
6334 CEDAR LN STE 103
COLUMBIA, MD 21044
Howard County (410) 531-2355
PERSONAL PHYSICIAN CARE, LLC
Specialist
6334 CEDAR LN STE 103
COLUMBIA, MD 21044
Howard County (410) 531-2355
ANDREW LAZRIS MD
Internal Medicine
6334 CEDAR LN STE 103
COLUMBIA, MD 21044
Howard County (410) 531-2355
MRS. VICTORIA INCOOM CRNP
Nurse Practitioner (Family)
6334 CEDAR LN STE 103
COLUMBIA, MD 21044
Howard County (410) 531-2355
OZIOMA ERONDU DNP, CRNP
Nurse Practitioner (Adult Health)
6334 CEDAR LN STE 103
COLUMBIA, MD 21044
Howard County (410) 531-2355
ALEXANDRA WOZNIAK
Nurse Practitioner (Primary Care)
6334 CEDAR LN STE 103
COLUMBIA, MD 21044
Howard County (410) 531-2355

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 So's NPI number?

The NPI number for Grace So is 1245196716. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Grace So located?

Grace So practices at 6334 Cedar Ln Ste 103, Columbia, MD 21044. The listed phone number is (310) 531-2355.

What is Grace So's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Grace So enrolled in Medicare?

Yes. Grace So is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Grace So's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace So reassigns Medicare benefits to Personal Physician Care, LLC (Columbia, MD). The 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 Grace So's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Grace So affiliated with any hospitals?

According to CMS data, Grace So is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Grace So was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.