Gracie Polen, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

95290659 Issued in CA

Practice address

1000 Nut Tree Rd
Vacaville, CA 95687-4100

Phone

(707) 624-7810

NPI assigned

Jul 7, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1104744226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874100",
            "telephone_number": "707-624-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NUT TREE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874100",
            "telephone_number": "707-624-7810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 B Gale Wilson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945333552",
            "country_code": "US",
            "telephone_number": "707-646-5818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLEN",
        "first_name": "GRACIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95290659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne Pleasant
• Christopher Plebani
• David J Plessas, DDS
• Florian H Ploch, MD
• Jennifer Poehleman
• Christopher Pon
• Melanie Corrine Ponce Santana Jr.
• Jaymie Pond
• Nina Rose Poquiz
• Latoya Porter

• Emergency Registered Nurse in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Emergency Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.