Individual provider Active NPI

Marissa S. Graciano, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Uvalde, TX
National Provider Identifier
1619506789
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145918 Issued in TX
Practice address
1020 E Leona Rd
Uvalde, TX 78801-4804
Phone
(830) 278-4588
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2020

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 AP145918 TX Primary

Addresses

Primary practice location

1020 E Leona Rd
Uvalde, TX 78801-4804

Mailing address

PO Box 337
Crystal City, TX 78839-0337
Phone (830) 279-3118

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
I20240717003790 TX Practitioner - Nurse Practitioner 5395280069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uvalde County Hospital AuthorityGroup PAC ID 7315832722, 26 clinicians

Practice addresses (Care Compare)

1020 E Leona Rd
Uvalde, TX 78801-4804
Phone (830) 278-4588

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uvalde Medical and Surgical Associates CurrentSince May 1, 2024 Accepting new patients
Uvalde Medical and Surgical Associates CurrentSince May 1, 2024 Accepting new patients
Sage Family Medicine Associates, PA Past Accepting new patients

Locations

1195 Garner Field Rd
Ste 500
Uvalde, TX 78801
Phone (830) 278-3027

1195 Garner Field Rd
Ste 400
Uvalde, TX 78801
Phone (830) 278-1652

1020 E Leona Rd
Uvalde, TX 78801
Phone (830) 278-4426

1195 Garner Field Rd
Ste 300
Uvalde, TX 78801
Phone (830) 278-3086

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1619506789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788390337",
            "telephone_number": "830-279-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E LEONA RD",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014804",
            "telephone_number": "830-278-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIANO",
        "first_name": "MARISSA",
        "middle_name": "S.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.