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GRACE NICHOLE DEYOUNG PA-C
NPI 1912886755
Physician Assistant in Granville, NY

Active since August 27, 2025PECOS EnrolledAccepts Medicare Assignment
79 NORTH STREET, GRANVILLE MEDICAL CENTER, GRANVILLE, NY 12832(518) 642-0612(518) 642-0693 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Nichole Deyoung Pa-c NPPES

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

GRACE NICHOLE DEYOUNG PA-C (NPI 1912886755) is an individual physician assistant in Granville, New York, licensed in New York (034341) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912886755
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACE NICHOLE DEYOUNGCredential: PA-C
Location Address79 NORTH STREET, GRANVILLE MEDICAL CENTERGranville, NY 12832
Mailing Address100 Park Street, Glens Falls Hospital CredentialingGlens Falls, NY 12801 · (518) 926-5924
Phone(518) 642-0612
Fax(518) 642-0693
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 27, 2025
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1912886755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034341
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
79 NORTH STREET, Granville, NY 12832
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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 Nichole Deyoung Pa-c 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 ID7315437787
PECOS Enrollment IDI20251104003987
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.

Hospital Affiliations CMS Care Compare

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12832 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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 2

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

MARGARET LOUISE YOUNG FNP, DNP
Nurse Practitioner (Family)
79 NORTH STREET, GRANVILLE MEDICAL CENTER
GRANVILLE, NY 12832
Washington County (518) 642-0612
EMILY M LOOMIS FNP
Nurse Practitioner (Family)
79 NORTH STREET, GRANVILLE MEDICAL CENTER
GRANVILLE, NY 12832
Washington County (518) 642-0612

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 Deyoung's NPI number?

The NPI number for Grace Deyoung is 1912886755. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Grace Deyoung located?

Grace Deyoung practices at 79 North Street Granville Medical Center, Granville, NY 12832. The listed phone number is (518) 642-0612.

What is Grace Deyoung's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Grace Deyoung enrolled in Medicare?

Yes. Grace Deyoung 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.

Is Grace Deyoung affiliated with any hospitals?

According to CMS data, Grace Deyoung is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Grace Deyoung was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.