Grace Nova Dorsey, FNP-C
Individual provider Active NPI Family Nurse Practitioner · San Antonio, TX
NPI 1114798691 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1114798691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1118819 (TX)
- Practice address
- 1150 N Loop 1604 W # 108240
San Antonio, TX 78248-4552 - Phone
- (830) 356-1427
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- TX Alliance Wound Care Services PLLC
Practice addresses (Care Compare)
San Antonio, TX 78257
Phone (888) 706-1444
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240916000694 | TX | Practitioner - Nurse Practitioner | 1254872468 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1118819 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Approach & Achieve Wellness LLC | Current |
Accepting new patients | |
| TX Alliance Wound Care Services PLLC | Current |
Accepting new patients |
Locations
32665 US Highway 281 N
Bulverde, TX 78163
Phone (830) 356-1247
4 Dominion Dr
Ste 100
San Antonio, TX 78257
Phone (888) 706-1444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1118819 | TX | Yes |
Addresses
Primary practice location
1150 N Loop 1604 W # 108240
San Antonio, TX 78248-4552
Mailing address
1150 N Loop 1604 W # 108240
San Antonio, TX 78248-4552
Phone (830) 356-1427
Other providers in San Antonio, TX
- Kwasiada Dorrielan
- Kristy Dorsa
- Dorsey Direct DME
- David Eric Dorsey
- Debra Dorsey
- Jordan Dorsey
- Kathryn Dorsey
- Mertha Venetta Dorsey
- Samantha Dorsey
- Semra Doruk
All providers in San Antonio, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.