GRACELAND PSYCHIATRIC AND NEUROMODULATION CENTER PLLC
NPI 1518548262
Psychiatry & Neurology - Psychiatry in San Antonio, TX
About Graceland Psychiatric And Neuromodulation Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACELAND PSYCHIATRIC AND NEUROMODULATION CENTER PLLC (NPI 1518548262) is a healthcare organization registered as a psychiatry in San Antonio, Texas and active in the NPI registry since April 2021. The organization maintains 5 additional practice locations and lists Femi Popoola, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Graceland Psychiatric And Neuromodulation Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Graceland Psychiatric And Neuromodulation Center PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (20)
Columbia, MO 65203
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 Graceland Psychiatric And Neuromodulation Center PLLC's NPI number?
The NPI number for Graceland Psychiatric And Neuromodulation Center PLLC is 1518548262. It was assigned to this organization in the NPPES registry on April 15, 2021.
Where is Graceland Psychiatric And Neuromodulation Center PLLC located?
Graceland Psychiatric And Neuromodulation Center PLLC is located at 2411 NE Loop 410 Ste 114, San Antonio, TX 78217. The listed phone number is (210) 868-5801.
What is Graceland Psychiatric And Neuromodulation Center PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Graceland Psychiatric And Neuromodulation Center PLLC enrolled in Medicare?
Yes. Graceland Psychiatric And Neuromodulation Center PLLC is registered in the Medicare PECOS enrollment system.
When is Graceland Psychiatric And Neuromodulation Center PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Graceland Psychiatric And Neuromodulation Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to Graceland Psychiatric And Neuromodulation Center 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. The largest specialties are Nurse Practitioner (8), Mental Health Counselor (7) and Psychiatry (5). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Graceland Psychiatric And Neuromodulation Center PLLC accept?
Health plans from WellPoint list Graceland Psychiatric And Neuromodulation Center PLLC 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.
When was this NPI record last updated?
The NPPES record for Graceland Psychiatric And Neuromodulation Center PLLC was last updated on January 14, 2026. 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.
# Graceland Psychiatric And Neuromodulation Center Pllc · NPI 1518548262
Psychiatry organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since April 15, 2021.
## Identity
- **NPI:** 1518548262 (Entity type: Organization)
- **Enumerated:** April 15, 2021
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Femi Popoola, MEDICAL DIRECTOR
## Practice location
- **Address:** 2411 NE LOOP 410 STE 114, San Antonio, TX 78217-6600
- **Phone:** (210) 868-5801 · **Fax:** (726) 201-1558
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Missouri, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Mental Health Counselor (7), Psychiatry (5); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1518548262) · Data from the CMS NPPES public registry.