Grace Kibue, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP016996 Issued in PA

Practice address

225 Evergreen Rd
Pottstown, PA 19464-3143

Phone

(610) 323-1800

NPI assigned

Dec 11, 2016

Last updated

May 25, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA, FL2 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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sozen Integrative Health and Wellness LLCGroup PAC ID 7517358351, 13 clinicians

Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25070/brand/1/csg/1/fhir/r4

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.

• Sozen Integrative Health and Wellness LLC

  • Internal Medicine Physician
  • Malvern, PA
  • NPI 1801559968
  Medicare reassignment Care Compare group NPD
• Physiatry Consultants of NC PLLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1437736881

  PA

  Medicare reassignment Care Compare group NPD
• Truhealth of Pennsylvania LLC

  • Nurse Practitioner
  • Erie, PA
  • NPI 1114741634
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Nurse Practitioner, PA

  Medicare reassignment NPD
• Formkind Health LLC

  • Health Service Clinic/Center
  • Wilmington, DE
  • NPI 1427929546
  NPD Authorized official
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  FL, PA

  Medicare reassignment
• HCR Manor Care Medical Services of Florida LLC

  dba Heartland Care Partners

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1881861052
  NPD
• HCR Manorcare Medical Services of Florida LLC

  dba Heartland Care Partners

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420

  Family Medicine

  NPD
• Ig Health and Wellness

  • Clinic/Center
  • Pembroke Pines, FL
  • NPI 1245017623
  NPD (past)

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

{
    "created_epoch": "1481414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1427592492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ABERDARE LN",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411901",
            "fax_number": "866-427-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EVERGREEN RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643143",
            "telephone_number": "610-323-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331321449",
            "country_code": "US",
            "telephone_number": "877-870-0323",
            "fax_number": "866-427-3798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Thomas Jones Way",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412531",
            "country_code": "US",
            "telephone_number": "484-873-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIBUE",
        "first_name": "GRACE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-11",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijah Kreations (Coventry Medical Boutique)
• Rana Khalil, RDH
• Krishna Khamar, PT
• Zoya Naveed Khawaja, M.D
• Peyman Khoshgavar, M.D.
• Chris Kichline
• Kristen Kiesow, RD
• Nicole Kikey, LMT
• Danielle Killian
• Eric John Kiltinen, MD

• Nurse Practitioner in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.