Grace D Verduzco, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61000736 Issued in WA

Practice address

314 S 11TH Ave Ste a
Yakima, WA 98902-3212

Phone

(509) 902-8585

Fax

(509) 902-8447

NPI assigned

Aug 27, 2018

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

Other names 1

• Grace Draculan Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kittitas Valley Urgent Care PLLCGroup PAC ID 5092093542, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Kittitas Valley Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Ellensburg, WA
  • NPI 1578926770
  Medicare reassignment Care Compare group NPD
• Aesthetics Verduzco PLLC

  • Clinic/Center
  • Yakima, WA
  • NPI 1477384881
  NPD Authorized official
• Yakima Valley Farm Workers Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yakima, WA
  • NPI 1295788602
  Medicare reassignment

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1184105280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PRESSON PL",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989032238",
            "telephone_number": "509-408-6298",
            "fax_number": "509-865-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S 11TH AVE STE A",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023212",
            "telephone_number": "509-902-8585",
            "fax_number": "509-902-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 S 40th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989083800",
            "country_code": "US",
            "telephone_number": "509-823-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERDUZCO",
        "first_name": "GRACE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61000736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "DRACULAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ventures Anew
• Nolan Jay Ver Steeg, MS OTR L
• Graciela Verdusco
• Luisa Verdusco
• Cindy Verduzco
• Maria Angelica Verduzco, MD
• Ulysses Vergara-Borges
• Brianna Verwey
• Joseph L Vickers, MD
• Lisa A Vickers, ARNP

• Physician Assistant in Yakima, WA
• Providers in Yakima, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.

Verify at the official NPI Registry.