GRACE HEALTH SERVICES LLC
NPI 1528614674
Nurse Practitioner in Stafford, VA

Active since August 14, 2019CLIA 49D2299623 · Waiver
188 ONVILLE RD, STAFFORD, VA 22556(540) 779-1648(540) 602-7062 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2023, Aug 14, 2019 (2 updates tracked since 2019).

About Grace Health Services Llc NPPES

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

GRACE HEALTH SERVICES LLC (NPI 1528614674) is a healthcare organization registered as a nurse practitioner in Stafford, Virginia and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through February 22, 2028, maintains a secondary practice location in Stafford, and lists Collette F Ngante, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1528614674
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGRACE HEALTH SERVICES LLC
Location Address188 ONVILLE RDStafford, VA 22556-3805
Mailing Address3 Sutton CtStafford, VA 22554-8335 · (360) 970-7708 · Fax (703) 441-2574
Fax(540) 602-7062
Organization SubpartNo
Authorized OfficialCollette F NganteOwner Of Entity · (360) 970-7708
Enumeration DateAugust 14, 2019
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1528614674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
188 ONVILLE RD, Stafford, VA 22556

Secondary Practice Location 1

Location 13 Sutton CtStafford, VA 22554-8335 · Phone (360) 970-7708 · Fax (703) 441-2574

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Grace Health Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1619331204
6106 HEALTH CENTER LN
Fredericksburg, VA 22407
(360) 970-7708
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1093444093
5322 LADYSMITH RD
Ruther Glen, VA 22546
(804) 547-4125
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1093410789
2811 PENNSYLVANIA AVE SE STE LL
Washington, DC 20020
(202) 894-6811
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1861971756
500 PARK AVE
Manalapan, NJ 07726
(732) 679-4500
✔ PECOS✔ Accepts Medicare204 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2299623

Grace Health Services LLC · Stafford, VA
Active · expires Feb 22, 2028
CLIA Number49D2299623
Laboratory TypeMental Health Provider
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorCollette F. Ngante
Laboratory Phone(888) 887-6867
Laboratory LocationGrace Health Services LLC188 Onville Road, Stafford, VA 22556
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Health Services LLC's NPI number?

The NPI number for Grace Health Services LLC is 1528614674. It was assigned to this organization in the NPPES registry on August 14, 2019.

Where is Grace Health Services LLC located?

Grace Health Services LLC is located at 188 Onville Rd, Stafford, VA 22556. The listed phone number is (540) 779-1648.

What is Grace Health Services LLC's specialty?

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

Is Grace Health Services LLC enrolled in Medicare?

Yes. Grace Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grace Health Services LLC. 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.

Does Grace Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2299623) is associated with this NPI, valid through February 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Health Services LLC was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.