GRACEWELL BEHAVIORAL HEALTH PLLC
NPI 1467399972
Nurse Practitioner in Phoenix, AZ
About Gracewell Behavioral Health Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACEWELL BEHAVIORAL HEALTH PLLC (NPI 1467399972) is a healthcare organization registered as a nurse practitioner in Phoenix, Arizona and active in the NPI registry since May 2026. The organization lists Grace Nassanga, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gracewell Behavioral Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gracewell Behavioral Health PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gracewell Behavioral Health PLLC's NPI number?
The NPI number for Gracewell Behavioral Health PLLC is 1467399972. It was assigned to this organization in the NPPES registry on May 1, 2026.
Where is Gracewell Behavioral Health PLLC located?
Gracewell Behavioral Health PLLC is located at 1717 W Northern Ave Ste 107, Phoenix, AZ 85021. The listed phone number is (781) 985-1314.
What is Gracewell Behavioral Health PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Gracewell Behavioral Health PLLC enrolled in Medicare?
Yes. Gracewell Behavioral Health PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gracewell Behavioral Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gracewell Behavioral Health PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gracewell Behavioral Health PLLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gracewell Behavioral Health Pllc · NPI 1467399972
Nurse Practitioner organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since May 1, 2026.
## Identity
- **NPI:** 1467399972 (Entity type: Organization)
- **Enumerated:** May 1, 2026
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Grace Nassanga, DIRECTOR
## Practice location
- **Address:** 1717 W NORTHERN AVE STE 107, Phoenix, AZ 85021-5400
- **Phone:** (781) 985-1314
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467399972) · Data from the CMS NPPES public registry.