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GRACE FAULLS
NPI 1851170526
Nurse Practitioner - Family in Mount Pleasant, WI

Active since September 22, 2023PECOS EnrolledAccepts Medicare Assignment
3807 SPRING ST, MOUNT PLEASANT, WI 53405(262) 687-4011 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grace Faulls NPPES

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

GRACE FAULLS (NPI 1851170526) is an individual family provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (14463) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851170526
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE FAULLS
Location Address3807 SPRING STMount Pleasant, WI 53405-1667
Mailing AddressW148n8107 University DrMenomonee Falls, WI 53051-3825 · (262) 719-3897
Phone(262) 687-4011
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1851170526 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 WI · 14463
3807 SPRING ST, Mount Pleasant, WI 53405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace Faulls 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 ID3072963966
PECOS Enrollment IDI20231218003964
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services15 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

JEFFREY NAUS MD
Pediatrics
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8282
CAMILLE A. PAQUETTE-SCHULGIT M.D.
Family Medicine
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8173
LESLEY DELGADO M.D.
Pediatrics
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8282
SACHIN H. PANCHAL M.D.
Internal Medicine
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
MS. LINDA M THOMSON RPH
Pharmacist
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8430
ASCENSION ALL SAINTS HOSPITAL, INC
Pharmacy (Community/Retail Pharmacy)
3807 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-8430
LESLIE M HERTZ MD
Pediatrics
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8282
KYLIE S NORDNESS PA-C
Physician Assistant
3807 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8173

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 Faulls's NPI number?

The NPI number for Grace Faulls is 1851170526. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Where is Grace Faulls located?

Grace Faulls practices at 3807 Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 687-4011.

What is Grace Faulls's specialty?

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

Is Grace Faulls enrolled in Medicare?

Yes. Grace Faulls 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.

What insurance does Grace Faulls accept?

Health plans from Network Health list Grace Faulls 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 Grace Faulls affiliated with any hospitals?

According to CMS data, Grace Faulls is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Grace Faulls was last updated on September 22, 2023. 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.