Grace Masakadza

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP028528 Issued in PA

Practice address

124 Country View Way
Telford, PA 18969-1338

Phone

(267) 640-6113

NPI assigned

Nov 9, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Wellness Medical SVCS PCGroup PAC ID 7315487980, 15 clinicians

Suburban Geriatric'S, Inc.Group PAC ID 4486551371, 102 clinicians

Suburban Geriatrics II PCGroup PAC ID 9537552419, 107 clinicians

Violet Valley Long Term Care PCGroup PAC ID 9638683915, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health of Carlisle LLC Home health agency, Havertown, PA, CCN 397645

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Suburban Geriatrics II PC

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1073273363
  Medicare reassignment Care Compare group NPD
• Suburban Geriatrics, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Plymouth Meeting, PA
  • NPI 1679594808
  Medicare reassignment Care Compare group NPD
• Violet Valley Long Term Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plymouth Meeting, PA
  • NPI 1649164617
  Medicare reassignment Care Compare group NPD
• Wellness Medical SVCS PC

  • Internal Medicine Physician
  • North Wales, PA
  • NPI 1538992045
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  PA

  Medicare reassignment NPD
• Suburban Geriatrics at Home PC

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1568122844
  Medicare reassignment
• Gracie Living LLC

  • In Home Supportive Care Agency
  • Telford, PA
  • NPI 1215870449
  NPD (past) Authorized official

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

• Residential Home Health of Carlisle, LLC

  • Home Health Agency
  • Havertown, PA
  • NPI 1174472427
  Care Compare affiliation

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1104690122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 COUNTRY VIEW WAY",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691338",
            "telephone_number": "267-640-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 COUNTRY VIEW WAY",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189691338",
            "telephone_number": "267-640-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAKADZA",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP028528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Landis Kaczor
• Landis Super Market Inc
• Keryn Lederach
• Lisa Leszcynski
• Lutheran Community at Telford
• Natalie E McGann, D.O.
• Dana Glynn McGiboney, RPH
• Jeanine Marie McGillian, RPH
• Ashley Nicole Michener Stranges, CRNP
• Karen Grace Mortka, CRNP

• Gerontology Nurse Practitioner in Telford, PA
• Providers in Telford, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.