GRACE HEALTHCARE SERVICES INC
NPI 1902581978
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD
About Grace Healthcare Services Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE HEALTHCARE SERVICES INC (NPI 1902581978) is a healthcare organization registered as a psychiatric/mental health in Frederick, Maryland and active in the NPI registry since June 2023. The organization lists Siphra Ngum Mukoro, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Healthcare Services Inc 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 Healthcare Services Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Healthcare Services Inc's NPI number?
The NPI number for Grace Healthcare Services Inc is 1902581978. It was assigned to this organization in the NPPES registry on June 19, 2023.
Where is Grace Healthcare Services Inc located?
Grace Healthcare Services Inc is located at 5100 Buckeystown Pike Ste 250, Frederick, MD 21704. The listed phone number is (301) 576-3515.
What is Grace Healthcare Services Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Grace Healthcare Services Inc enrolled in Medicare?
Yes. Grace Healthcare Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Healthcare Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Grace Healthcare Services Inc. 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.
When was this NPI record last updated?
The NPPES record for Grace Healthcare Services Inc was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Grace Healthcare Services Inc · NPI 1902581978
Psychiatric/Mental Health organization in Frederick, Maryland. Organization record, active in the CMS NPPES registry since June 19, 2023.
## Identity
- **NPI:** 1902581978 (Entity type: Organization)
- **Enumerated:** June 19, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Siphra Mukoro, NP
## Practice location
- **Address:** 5100 BUCKEYSTOWN PIKE STE 250, Frederick, MD 21704-8344
- **Phone:** (301) 576-3515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1902581978) · Data from the CMS NPPES public registry.