Gracewell Behavioral Health PLLC
NPI 1467399972ActiveOrganization· Nurse Practitioner· Phoenix, AZ
Nurse Practitioner in Phoenix, Arizona, registered in NPPES in May 2026. The authorized official on file is Grace Nassanga, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467399972 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2026 |
| Last updated in NPPES | Jul 14, 2026 |
| Certified by provider | Jul 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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