GRACE IN HEALINGS PLLC
NPI 1699557694
Registered Nurse - Psychiatric/Mental Health in Dallas, TX

Active since October 16, 2023
5301 ALPHA RD STE 80-3, DALLAS, TX 75240(682) 215-1691(682) 267-4840 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2024, Oct 16, 2023 (2 updates tracked since 2023).

About Grace In Healings Pllc NPPES

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

GRACE IN HEALINGS PLLC (NPI 1699557694) is a healthcare organization registered as a psychiatric/mental health in Dallas, Texas and active in the NPI registry since October 2023. The organization lists Prajnawati Wibowo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699557694
Entity TypeOrganization
Primary Taxonomy163WP0808X
Legal Business NameGRACE IN HEALINGS PLLC
Location Address5301 ALPHA RD STE 80-3Dallas, TX 75240-4355
Mailing Address5301 Alpha Rd Ste 80-3Dallas, TX 75240-4355 · (682) 215-1691 · Fax (682) 267-4840
Fax(682) 267-4840
Organization SubpartNo
Authorized OfficialPrajnawati WibowoCeo · (682) 215-1691
Enumeration DateOctober 16, 2023
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1699557694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
5301 ALPHA RD STE 80-3, Dallas, TX 75240

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 In Healings Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace In Healings PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1760959696
5301 ALPHA RD STE 80-3
Dallas, TX 75240
(682) 215-1691
✔ PECOS✔ Accepts MedicareSame address

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 Grace In Healings PLLC's NPI number?

The NPI number for Grace In Healings PLLC is 1699557694. It was assigned to this organization in the NPPES registry on October 16, 2023.

Where is Grace In Healings PLLC located?

Grace In Healings PLLC is located at 5301 Alpha Rd Ste 80-3, Dallas, TX 75240. The listed phone number is (682) 215-1691.

What is Grace In Healings PLLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Grace In Healings PLLC enrolled in Medicare?

Yes. Grace In Healings PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace In Healings PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Grace In Healings 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grace In Healings PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Grace In Healings 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 Grace In Healings PLLC was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.