GRACE KIBUE CRNP
NPI 1427592492
Nurse Practitioner in Pottstown, PA

Active since December 11, 2016PECOS EnrolledAccepts Medicare Assignment
225 EVERGREEN RD, POTTSTOWN, PA 19464(610) 323-1800 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 25, 2026, May 22, 2026, May 15, 2026 and 1 more (4 updates tracked since 2024).

About Grace Kibue Crnp NPPES

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

GRACE KIBUE CRNP (NPI 1427592492) is an individual nurse practitioner in Pottstown, Pennsylvania, licensed in Pennsylvania (SP016996) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427592492
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGRACE KIBUECredential: CRNP
Location Address225 EVERGREEN RDPottstown, PA 19464-3143
Mailing Address108 Aberdare LnExton, PA 19341-1901 · Fax (866) 427-3798
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 11, 2016
Last NPPES UpdateMay 25, 20264 updates tracked since enumeration
NPPES CertifiedMay 25, 2026
✔ NPI 1427592492 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 PA · SP016996
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.
225 EVERGREEN RD, Pottstown, PA 19464

Secondary Practice Locations 2

Location 11501 Biscayne BlvdMiami, FL 33132-1449 · Phone (877) 870-0323 · Fax (866) 427-3798
Location 2501 Thomas Jones WayExton, PA 19341-2531 · Phone (484) 873-3700

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 Kibue Crnp 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 ID7911281126
PECOS Enrollment IDI20170308001011, I20260510000037, I20260805003792, I20260811001980, I20260812003130
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 Reassignments

9

Medicare enrollment records show Grace Kibue reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2050 DIAMOND ROCK HILL RD
Malvern, PA 19355
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 16 clinicians in this Medicare group
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Delaware, Florida, Indiana and Pennsylvania enrollments
  • Medicare enrollment name: Daniel Funsch Jr MD PC
  • 9 clinicians in this Medicare group
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Delaware, Florida, Indiana, New York, Pennsylvania and Vermont enrollments
  • 41 clinicians in this Medicare group
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Florida, Indiana and Pennsylvania enrollments
  • 102 clinicians in this Medicare group
Nurse Practitioner
2628 ELMWOOD AVE
Erie, PA 16508
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
Geriatric Medicine
2350 TAFT ST
Gary, IN 46404
  • Reassigned Medicare billing, Indiana enrollment
  • 85 clinicians in this Medicare group
Physical Medicine & Rehabilitation
9400 MARION AVE
Morton Grove, IL 60053
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 59 clinicians in this Medicare group
Family Medicine
1201 NE 175TH ST
Miami, FL 33162
  • Reassigned Medicare billing, Delaware, Florida, Indiana, New York, Pennsylvania and Vermont enrollments
  • 31 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 11

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
398 services87 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
353 services67 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
155 services61 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
101 services47 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
73 services33 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
31 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims394 services$2.63 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers14 claims8,967 services$0.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Skilled Nursing Facility
225 EVERGREEN RD
POTTSTOWN, PA 19464
Nurse Practitioner (Gerontology)
225 EVERGREEN RD
POTTSTOWN, PA 19464
Physical Therapy Assistant
225 EVERGREEN RD
POTTSTOWN, PA 19464
Occupational Therapist
225 EVERGREEN RD
POTTSTOWN, PA 19464
Occupational Therapist
225 EVERGREEN RD
POTTSTOWN, PA 19464
Occupational Therapy Assistant
225 EVERGREEN RD
POTTSTOWN, PA 19464
Occupational Therapist
225 EVERGREEN RD
POTTSTOWN, PA 19464
Occupational Therapist (Physical Rehabilitation)
225 EVERGREEN RD
POTTSTOWN, PA 19464

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 Kibue's NPI number?

The NPI number for Grace Kibue is 1427592492. It was assigned to this individual provider in the NPPES registry on December 11, 2016.

Where is Grace Kibue located?

Grace Kibue practices at 225 Evergreen Rd, Pottstown, PA 19464. The listed phone number is (610) 323-1800.

What is Grace Kibue's specialty?

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

Is Grace Kibue enrolled in Medicare?

Yes. Grace Kibue 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 organizations bill Medicare for Grace Kibue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Kibue reassigns Medicare benefits to 9 organizations: Sozen Integrative Health And Wellness LLC (Malvern, PA), Daniel Funsch Jr, M.D., P.C. (New York, NY), Ivy Medical Group PLLC (New York, NY), Post Acute Medical PLLC (Lanham, MD), Truhealth Of Pennsylvania LLC (Erie, PA) and 4 more organizations, listed in the Medicare section above. Each 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 Kibue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Kibue was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.