GRACE PEDIATRICS PL
GRACE PEDIATRICS PL is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1720362429, based in Lake City, FL. It is classified under Pediatric Nurse Practitioner.
Getting there
The practice address on file is 4196 W US HIGHWAY 90 SUITE 105, Lake City, FL 32055. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2667852 | FL | Pediatric Nurse Practitioner primary |
| 9220069 | FL | Pediatric Nurse Practitioner |
This provider holds licence 2667852 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part A Provider - Rural Health Clinic
- PAC ID
- 0547403545
- Enrollment ID
- O20130823000150
Medicare enrolment is recorded as approved under the provider type Part A Provider - Rural Health Clinic. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP0200X | Pediatric Nurse Practitioner Pediatrics | 2667852 | FL | primary |
| 363LP0200X | Pediatric Nurse Practitioner Pediatrics | 9220069 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1720362429 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 29, 2011 |
| Last updated | Feb 19, 2014 |
| Status | Active |
| Practice address |
4196 W US HIGHWAY 90 SUITE 105 Lake City, FL 32055 (386) 243-8474 Fax (386) 438-5945 |
| Other identifiers |
004797600
· Medicaid (FL) 68-3810 · Other (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 2 | 0 | 3 | 6 | 2 | 4 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 4 | 0 | 6 | 6 | 4 | 4 | 4 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.