GRACE SPRADLEY
NPI 1619777091
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since March 15, 2025PECOS Enrolled
5850 E STILL CIR, MESA, AZ 85206(480) 219-6000 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Grace Spradley NPPES

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

GRACE SPRADLEY (NPI 1619777091) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619777091
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE SPRADLEY
Location Address5850 E STILL CIRMesa, AZ 85206-3618
Mailing Address1415 Se Pardee St Apt 201Portland, OR 97202-4851 · (505) 903-4336
Sole ProprietorYes
Enumeration DateMarch 15, 2025
NPPES CertifiedMarch 15, 2025
NPI 1619777091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5850 E STILL CIR, Mesa, AZ 85206

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

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.

Physician Assistant
5850 E STILL CIR
MESA, AZ 85206
Physician Assistant
5850 E STILL CIR
MESA, AZ 85206
Physician Assistant
5850 E STILL CIR
MESA, AZ 85206
Student in an Organized Health Care Education/Training Program
5850 E STILL CIR
MESA, AZ 85206
Physician Assistant
5850 E STILL CIR
MESA, AZ 85206
Student in an Organized Health Care Education/Training Program
5850 E STILL CIR
MESA, AZ 85206
Student in an Organized Health Care Education/Training Program
5850 E STILL CIR
MESA, AZ 85206
Physician Assistant
5850 E STILL CIR
MESA, AZ 85206

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 Spradley's NPI number?

The NPI number for Grace Spradley is 1619777091. It was assigned to this individual provider in the NPPES registry on March 15, 2025.

Where is Grace Spradley located?

Grace Spradley practices at 5850 E Still Cir, Mesa, AZ 85206. The listed phone number is (480) 219-6000.

What is Grace Spradley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grace Spradley enrolled in Medicare?

Yes. Grace Spradley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Spradley was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.