Amazing Grace Health, LLC
NPI 1568002160ActiveOrganization· Nurse Practitioner, Family· Saint Paul, MN
Nurse Practitioner, Family in Saint Paul, Minnesota, registered in NPPES in January 2020. The authorized official on file is Victor Davis, Co-Owner/Nurse Practitioner.
Overview
| NPI | 1568002160 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2020 |
| Last updated in NPPES | Feb 11, 2022 |
| Certified by provider | Feb 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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