JILL GRAMER DO PA
NPI 1578884029
Family Medicine in Fort Worth, TX
About Jill Gramer Do Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL GRAMER DO PA (NPI 1578884029) is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since June 2010. The organization lists Jill Gramer, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Jill Gramer Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jill Gramer Do PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Jill Gramer Do PA's NPI number?
The NPI number for Jill Gramer Do PA is 1578884029. It was assigned to this organization in the NPPES registry on June 18, 2010.
Where is Jill Gramer Do PA located?
Jill Gramer Do PA is located at 6312 Azle Ave Ste 200, Fort Worth, TX 76135. The listed phone number is (682) 841-1056.
What is Jill Gramer Do PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jill Gramer Do PA enrolled in Medicare?
Yes. Jill Gramer Do PA is registered in the Medicare PECOS enrollment system.
When is Jill Gramer Do PA'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 (Texas, Clinic/Group Practice) is due for revalidation by February 28, 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 Jill Gramer Do PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jill Gramer Do PA, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jill Gramer Do PA was last updated on September 8, 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.
# Jill Gramer Do Pa · NPI 1578884029
Family Medicine organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since June 18, 2010.
## Identity
- **NPI:** 1578884029 (Entity type: Organization)
- **Enumerated:** June 18, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jill Gramer, PRESIDENT
## Practice location
- **Address:** 6312 AZLE AVE STE 200, Fort Worth, TX 76135-2442
- **Phone:** (682) 841-1056 · **Fax:** (682) 841-1161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1578884029) · Data from the CMS NPPES public registry.