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HOLLY ERIN GRACE
NPI 1710605985
Student in an Organized Health Care Education/Training Program in Round Rock, TX

Active since August 15, 2022Accepts Medicare Assignment
200 BOBCAT WAY, WILLOW HALL 110, ROUND ROCK, TX 78665(512) 716-2600 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holly Erin Grace NPPES

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

HOLLY ERIN GRACE (NPI 1710605985) is an individual student in an organized health care education/training program in Round Rock, Texas and active in the NPI registry since August 2022. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1710605985
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHOLLY ERIN GRACE
Location Address200 BOBCAT WAY, WILLOW HALL 110Round Rock, TX 78665
Mailing Address2700 N A W Grimes Blvd Apt 922Round Rock, TX 78665-3436 · (214) 621-3952
Phone(512) 716-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 11, 2022
✔ NPI 1710605985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
200 BOBCAT WAY, Round Rock, TX 78665
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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

Holly Erin Grace 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 ID1658846142
PECOS Enrollment IDI20260413001699

Medicare Billing Reassignment

Medicare enrollment records show Holly Grace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dick's Bigheart, LLC
160 mi
Neurology
217 HARWOOD RD STE 215
Bedford, TX 76021
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dicks Bigheart LLC
  • 10 clinicians in this Medicare group
NPI 1972295350 (817) 393-7740

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

Other Providers at the Same Location NPPES 8

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

DARCY CAROTHERS
Student in an Organized Health Care Education/Training Program
200 BOBCAT WAY
ROUND ROCK, TX 78665
Williamson County (512) 716-2624
NATALIA LOUISE MARTINEZ
Student in an Organized Health Care Education/Training Program
200 BOBCAT WAY
ROUND ROCK, TX 78665
Williamson County (512) 716-2600
KAELA MOLINA
Speech-Language Pathologist
200 BOBCAT WAY
ROUND ROCK, TX 78665
Williamson County (512) 716-2624
KENEDI PAIGE DOUCET
Student in an Organized Health Care Education/Training Program
200 BOBCAT WAY
ROUND ROCK, TX 78665
Williamson County (512) 716-2600
BRIANNA RASH
Student in an Organized Health Care Education/Training Program
200 BOBCAT WAY
ROUND ROCK, TX 78665
Williamson County (512) 716-2600
JAYESH JOHN
Respiratory Therapist, Registered
200 BOBCAT WAY
ROUND ROCK, TX 78665
Williamson County (512) 217-9470
TAYLOR F VALENTIN B.S.
Speech-Language Pathologist
200 BOBCAT WAY
ROUND ROCK, TX 78665
Williamson County (512) 716-2624
GRACIE BOUCHARD B.S.
Student in an Organized Health Care Education/Training Program
200 BOBCAT WAY
ROUND ROCK, TX 78665
Williamson County (512) 716-2600

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 Holly Grace's NPI number?

The NPI number for Holly Grace is 1710605985. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Holly Grace located?

Holly Grace practices at 200 Bobcat Way Willow Hall 110, Round Rock, TX 78665. The listed phone number is (512) 716-2600.

What is Holly Grace's specialty?

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

Is Holly Grace enrolled in Medicare?

Yes. Holly Grace 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 organization bills Medicare for Holly Grace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Grace reassigns Medicare benefits to Dick's Bigheart, LLC (Bedford, TX). The 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 Holly Grace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Holly Grace was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.