Individual provider Active NPI

Grace Wanjiru Gichuhi

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1013681071
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015324 Issued in NC
Practice address
1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone
(919) 833-3111
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5015324 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1001 Rock Quarry Rd
Raleigh, NC 27610-3825

Mailing address

1001 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211221002247 NC Practitioner - Nurse Practitioner 2860883170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Community Health Inc 32 clinicians

Practice addresses (Care Compare)

111 S Church St
Louisburg, NC 27549-2501
Phone (919) 833-3111

187 High House Rd
Cary, NC 27511-6715
Phone (919) 833-3111

Hospital & facility affiliations

  • Wakemed Home Health Home health agency, Raleigh, NC, CCN 347179
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc CurrentSince Dec 6, 2021 Accepting new patients
Advance Community Health, Inc CurrentSince Dec 6, 2021 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Jun 10, 2022 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc Past Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

187 High House Rd
Cary, NC 27511

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 340-2500

1011 Rock Quarry Rd
Fl 2
Raleigh, NC 27610

1001 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2934

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

1011 Rock Quarry Rd
Raleigh, NC 27610

1430 S Wilmington St
Raleigh, NC 27603

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1013681071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-833-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-833-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GICHUHI",
        "first_name": "GRACE",
        "middle_name": "WANJIRU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015324",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.