Individual provider Active NPI

Grace An Chen, PA-C

  • Medical Physician Assistant
  • Kingwood, TX
National Provider Identifier
1003585597
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA14706 Issued in TX
Practice address
22659 Highway 59 N Ste 140
Kingwood, TX 77339-4504
Phone
(281) 973-4159
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA14706 TX Primary

Addresses

Primary practice location

22659 Highway 59 N Ste 140
Kingwood, TX 77339-4504

Mailing address

9731 Haven Crossing CT
Houston, TX 77065-4082
Phone (832) 877-9642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220223001487 TX Practitioner - Physician Assistant 2769876499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Dermatology and Aesthetics PLLCGroup PAC ID 5799075917, 7 clinicians

Practice addresses (Care Compare)

2255 E Mossy Oaks Rd
Suite 500
Spring, TX 77389-1813
Phone (281) 973-4159

22659 Hwy 59 N
Suite 140
Kingwood, TX 77339-4406
Phone (281) 973-4159

9240 N Sam Houston Pkwy E
Suite 201
Humble, TX 77396-5095
Phone (832) 777-7559

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Association, P.L.L.C Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1003585597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 HAVEN CROSSING CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654082",
            "telephone_number": "832-877-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22659 HIGHWAY 59 N STE 140",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394504",
            "telephone_number": "281-973-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "GRACE",
        "middle_name": "AN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA14706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.