Look up the most recent NPI and PECOS records

Grace Ivey

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2015 Grand Concourse, Bronx, NY 10453-4303

PECOS Enrollment

Based on the most recent information from CMS, provider Grace Ivey is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1043555865
Provider Type
Individual
Full Name
Ivey, Grace
Title
Miss
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
12/5/2012
Last Updated
6/30/2022

Contact Information

Practice Location

2015 Grand Concourse, Bronx, NY 10453-4303

(718) 299-7295

(718) 299-6797

Mailing Location

2626 Halperin Ave, Bronx, NY 10461-2631

(718) 618-0401

(347) 479-1303

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F349788 New York

Grace Ivey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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