MARISSA S. GRACIANO MSN, APRN, FNP-BC
NPI 1619506789
Nurse Practitioner - Family in Uvalde, TX

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
1020 E LEONA RD, UVALDE, TX 78801(830) 278-4588 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2020, Apr 2, 2020 (2 updates tracked since 2020).

About Marissa S. Graciano Msn, Aprn, Fnp-bc NPPES

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

MARISSA S. GRACIANO MSN, APRN, FNP-BC (NPI 1619506789) is an individual family provider in Uvalde, Texas, licensed in Texas (AP145918) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Uvalde Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619506789
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARISSA S. GRACIANOCredential: MSN, APRN, FNP-BC
Location Address1020 E LEONA RDUvalde, TX 78801-4804
Mailing AddressPo Box 337Crystal City, TX 78839-0337 · (830) 279-3118
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateMay 5, 20202 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
✔ NPI 1619506789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP145918
1020 E LEONA RD, Uvalde, TX 78801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marissa S. Graciano Msn, Aprn, Fnp-bc 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 ID5395280069
PECOS Enrollment IDI20240717003790
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marissa Graciano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
1020 E LEONA RD
Uvalde, TX 78801
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
Surgery
1195 GARNER FIELD RD, SUITE 300
Uvalde, TX 78801
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78801 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
1020 E LEONA RD
UVALDE, TX 78801
Nurse Practitioner (Family)
1020 E LEONA RD
UVALDE, TX 78801
Family Medicine
1020 E LEONA RD
UVALDE, TX 78801
Family Medicine
1020 E LEONA RD
UVALDE, TX 78801
Nurse Practitioner (Family)
1020 E LEONA RD
UVALDE, TX 78801
Nurse Practitioner (Family)
1020 E LEONA RD
UVALDE, TX 78801
Clinic/Center (Rural Health)
1020 E LEONA RD
UVALDE, TX 78801

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 Marissa Graciano's NPI number?

The NPI number for Marissa Graciano is 1619506789. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Marissa Graciano located?

Marissa Graciano practices at 1020 E Leona Rd, Uvalde, TX 78801. The listed phone number is (830) 278-4588.

What is Marissa Graciano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marissa Graciano enrolled in Medicare?

Yes. Marissa Graciano 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.

Which organizations bill Medicare for Marissa Graciano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Graciano reassigns Medicare benefits to 2 organizations: Uvalde County Hospital Authority (Uvalde, TX) and Uvalde Medical And Surgical Associates (Uvalde, TX). Each 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 Marissa Graciano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Graciano accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Marissa Graciano 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 Marissa Graciano affiliated with any hospitals?

According to CMS data, Marissa Graciano is affiliated with Uvalde Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Marissa Graciano was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.