Individual provider Active NPI

Graceann A Freeman

  • Nurse Practitioner
  • Wapato, WA
National Provider Identifier
1124227244
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61599120 Issued in WA
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

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
V110664OtherNVSMA MEDICARE
1124227244OtherNVSMA MEDICAID
1124227244MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220503002112 AZ Practitioner - Nurse Practitioner 4082776562 Reassigns benefits to 2 organizations
I20250815002504 WA Practitioner - Nurse Practitioner 4082776562 Reassigns benefits to 1 organization

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
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
APN000955NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jul 28, 2025 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Feb 13, 2023 Accepting new patients
Yakima Valley Farm Workers Clinic Current Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Feb 13, 2023 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Current Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jul 28, 2025 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

  • Direct secure messaging: graceann.freeman.1@4371.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.