Active NPI
Graceann A Freeman
- Nurse Practitioner
- Wapato, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61599120
- Practice address
- 620 W 1St St
Wapato, WA 98951-1108 - Phone
- (509) 887-4111
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN000955 | NV | |
| Nurse Practitioner | 363L00000X | AP61599120 | WA | Primary |
Addresses
Primary practice location
620 W 1St St
Wapato, WA 98951-1108
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 579-3298
Other practice location 1
888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone (702) 877-5152
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V110664 | Other | NV | SMA MEDICARE |
| 1124227244 | Other | NV | SMA MEDICAID |
| 1124227244 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 Kern Way
Yakima, WA 98902-6340
Phone (509) 574-3200
510 W 1St Ave
Toppenish, WA 98948-1564
Phone (509) 865-5600
618 W 1St St
Wapato, WA 98951-1108
Phone (509) 877-3243
620 W
Wapato, WA 98951-1108
Phone (509) 877-4111
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.21 of 100
- Quality
- 77.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN000955 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| True North Health Navigation LLC | Past | Accepting new patients |
Locations
3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444
415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661
18404 N Tatum Blvd
Ste 101C
Phoenix, AZ 85032
Phone (602) 485-7475
1515 E Bethany Home Rd
Ste 120
Phoenix, AZ 85014
620 W 1st St
Wapato, WA 98951
Phone (509) 480-9345
3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200
314 S 11th Ave
Ste A
Yakima, WA 98902
Phone (509) 575-0114
Interoperability endpoints
- graceann.freeman.1@4371.direct.athenahealth.com
- graceann.freeman.1@9596.direct.athenahealth.com
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1740273614
-
- Urgent Care Clinic/Center
- Surprise, AZ
- NPI 1467069047
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1659407872
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1700423415
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1760099444
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1801403480
-
- Federally Qualified Health Center (FQHC)
- Clatskanie, OR
- NPI 1578000345
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1124227244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15645",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891145645",
"telephone_number": "702-579-3298",
"fax_number": "702-667-4689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W 1ST ST",
"city": "WAPATO",
"state": "WA",
"postal_code": "989511108",
"telephone_number": "509-887-4111"
}
],
"practiceLocations": [
{
"address_1": "888 S Rancho Dr",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891063810",
"country_code": "US",
"telephone_number": "702-877-5152",
"fax_number": "702-877-5341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEMAN",
"first_name": "GRACEANN",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APN000955",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61599120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMA MEDICARE",
"identifier": "V110664",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMA MEDICAID",
"identifier": "1124227244",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124227244",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wapato, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.