GRACELAND FAMILY PRACTICE
NPI 1932708617
Clinic/Center - Primary Care in Pensacola, FL
About Graceland Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACELAND FAMILY PRACTICE (NPI 1932708617) is a healthcare organization registered as a primary care in Pensacola, Florida and active in the NPI registry since October 2020. The organization lists Debra Ann Fickling, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Graceland Family Practice 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 Graceland Family Practice, 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 Family Practice's NPI number?
The NPI number for Grace Family Practice is 1932708617. It was assigned to this organization in the NPPES registry on October 22, 2020. The provider is doing business as Graceland Family Practice.
Where is Grace Family Practice located?
Grace Family Practice is located at 6470 Tippin Ave, Pensacola, FL 32504. The listed phone number is (850) 741-2878.
What is Grace Family Practice's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Grace Family Practice enrolled in Medicare?
Yes. Grace Family Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Grace Family Practice. 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 Family Practice was last updated on October 22, 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.
# Graceland Family Practice · NPI 1932708617
Primary Care organization in Pensacola, Florida. Organization record, active in the CMS NPPES registry since October 22, 2020.
## Identity
- **NPI:** 1932708617 (Entity type: Organization)
- **Enumerated:** October 22, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Grace Family Practice
- **Organization subpart:** No
- **Authorized official:** Debra Fickling, PROVIDER
## Practice location
- **Address:** 6470 TIPPIN AVE, Pensacola, FL 32504-8143
- **Phone:** (850) 741-2878
## 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:** October 22, 2020
- **Other identifiers:** Medicaid 1184196669 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1932708617) · Data from the CMS NPPES public registry.