AMANDA SIMMONS GRACE MD
NPI 1396773628
Emergency Medicine in Phoenix, AZ

Q: What is Amanda Grace's NPI number?

The NPI number for Amanda Grace is 1396773628. It was assigned to this individual provider in the NPPES registry on June 28, 2006. The provider is also known as Amanda Simmons Lake MD.

Q: What is Amanda Grace's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Grace was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Amanda Simmons Grace Md NPPES

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

AMANDA SIMMONS GRACE MD (NPI 1396773628) is an individual emergency medicine provider in Phoenix, Arizona, licensed in Arizona (33644) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1396773628

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameAMANDA SIMMONS GRACECredential: MD

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619

Phone(602) 263-1200

Fax(602) 263-1619

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 28, 2006

Last NPPES UpdateNovember 13, 2025

NPPES CertifiedNovember 13, 2025

✔ NPI 1396773628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in AZ · 33644

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 33644 (AZ)

4212 N 16TH ST, Phoenix, AZ 85016

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Other Names 1

Former Name (1)Amanda Simmons Lake Md

Other Identifiers 2

OtherP00477582AZ · Rr Medicare

Medicaid989759AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Amanda Simmons Grace Md 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 ID1153343116

PECOS Enrollment IDI20051220000033, I20251201000803

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

76 services75 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

51 services50 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

50 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)