Grace Mary Ruettinger, PA
NPI 1053796383ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Goodyear, AZ
Nurse Practitioner, Psych/Mental Health (PA) with Adelante Healthcare, Inc, practicing in Goodyear, Arizona. 21 Medicare patients in 2024, $1,309 paid; nearly all of their 78 Part D prescriptions were generic (99%).
Overview
| NPI | 1053796383 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | Yes |
| NPI issued | Jul 28, 2015 |
| Last updated in NPPES | May 12, 2026 |
| Certified by provider | May 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 9262 | AZ |
| Physician Assistant | 363A00000X | 085006106 | IL |
| Physician Assistant | 363A00000X | 9262 | AZ |
| Physician Assistant | 363A00000X | 52683 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 36 across 13 procedure codes |
| Paid by Medicare | $1,309 |
Part D prescriptions in 2024
| Prescriptions (claims) | 78 · 78 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $758.19 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Adelante Healthcare, IncSurprise, AZ · 135 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 45 psychiatric nurse practitioners in Goodyear · All psychiatric nurse practitioners in Arizona