GRACE ROCK
NPI 1356111876
Student in an Organized Health Care Education/Training Program in Salem, WV

Q: What is Grace Rock's NPI number?

The NPI number for Grace Rock is 1356111876. It was assigned to this individual provider in the NPPES registry on January 5, 2024.

Q: What is Grace Rock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Rock was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 05, 2024PECOS Enrolled

902 JACOBS RUN RD, SALEM, WV 26426(304) 476-9914 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Grace Rock NPPES

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

GRACE ROCK (NPI 1356111876) is an individual student in an organized health care education/training program in Salem, West Virginia and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356111876

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGRACE ROCK

Location Address902 JACOBS RUN RDSalem, WV 26426-8417

Mailing Address902 Jacobs Run RdSalem, WV 26426-8417 · (304) 476-9914

Phone(304) 476-9914

Sole ProprietorYes

Enumeration DateJanuary 5, 2024

NPPES CertifiedJanuary 5, 2024

✔ NPI 1356111876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

902 JACOBS RUN RD, Salem, WV 26426

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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 Rock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Rock's NPI number?

The NPI number for Grace Rock is 1356111876. It was assigned to this individual provider in the NPPES registry on January 5, 2024.

Where is Grace Rock located?

Grace Rock practices at 902 Jacobs Run Rd, Salem, WV 26426. The listed phone number is (304) 476-9914.

What is Grace Rock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grace Rock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Grace Rock was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.