HAILEY GRACE APN
NPI 1922498336
Nurse Practitioner - Family in Minnetonka, MN
About Hailey Grace Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAILEY GRACE APN (NPI 1922498336) is an individual family provider in Minnetonka, Minnesota, licensed in Illinois (209012415) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Saint James Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Hailey Grace Apn 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.
Medicare Billing Reassignment
Medicare enrollment records show Hailey Grace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint James Hospital
Acute Care Hospitals · Pontiac, ILSt Joseph Medical Center
Acute Care Hospitals · Bloomington, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Hailey Grace's NPI number?
The NPI number for Hailey Grace is 1922498336. It was assigned to this individual provider in the NPPES registry on January 24, 2015.
Where is Hailey Grace located?
Hailey Grace practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (478) 538-9080.
What is Hailey Grace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hailey Grace enrolled in Medicare?
Yes. Hailey 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 Hailey Grace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hailey Grace reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). 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 Hailey Grace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Hailey Grace affiliated with any hospitals?
According to CMS data, Hailey Grace is affiliated with Saint James Hospital and St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Hailey Grace was last updated on June 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Hailey Grace, APN · NPI 1922498336
Family physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since January 24, 2015.
## Identity
- **NPI:** 1922498336 (Entity type: Individual)
- **Enumerated:** January 24, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209012415 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 9900 BREN RD E, Minnetonka, MN 55343-9664
- **Phone:** (478) 538-9080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1922498336) · Data from the CMS NPPES public registry.