GRACE PAE
NPI 1477187698
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since February 26, 2020PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST, PHILADELPHIA, PA 19107(732) 284-6690 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Jun 16, 2020, Feb 26, 2020 (3 updates tracked since 2020).

About Grace Pae NPPES

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

GRACE PAE (NPI 1477187698) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021485) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477187698
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameGRACE PAE
Location Address111 S 11TH STPhiladelphia, PA 19107-4824
Mailing Address601 N 2nd St Apt 203Philadelphia, PA 19123-3076 · (732) 284-6690
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 26, 2020
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1477187698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · SP021485
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License SP033825 (PA)
111 S 11TH ST, Philadelphia, PA 19107

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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

Grace Pae 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 ID1951717495
PECOS Enrollment IDI20210309001328
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.

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$21.42 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$7.08 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.

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

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 Pae's NPI number?

The NPI number for Grace Pae is 1477187698. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Grace Pae located?

Grace Pae practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (732) 284-6690.

What is Grace Pae's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Grace Pae enrolled in Medicare?

Yes. Grace Pae 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.

What insurance does Grace Pae accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Grace Pae as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Grace Pae affiliated with any hospitals?

According to CMS data, Grace Pae is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Grace Pae was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.