Individual provider Active NPI

Grace Nova Dorsey, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1114798691
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1118819 Issued in TX
Practice address
1150 N Loop 1604 W # 108240
San Antonio, TX 78248-4552
Phone
(830) 356-1427
NPI assigned
Jan 12, 2024
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1118819 TX Primary

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

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
I20240916000694 TX Practitioner - Nurse Practitioner 1254872468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
TX Alliance Wound Care Services PLLCGroup PAC ID 4688176456, 9 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78257
Phone (888) 706-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1118819TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Approach & Achieve Wellness LLC CurrentSince Sep 1, 2025 Accepting new patients
TX Alliance Wound Care Services PLLC CurrentSince Oct 1, 2025 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

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1114798691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N LOOP 1604 W # 108240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782484552",
            "telephone_number": "830-356-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N LOOP 1604 W # 108240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782484552",
            "telephone_number": "830-356-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "GRACE",
        "middle_name": "NOVA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1118819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.