Organization Active NPI

Grace Adam Elliott PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Crested Butte, CO
National Provider Identifier
1639974561
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GRACE ADAM ELLIOTT PLLC
Practice address
319 Elk Avenue
Unit 1
Crested Butte, CO 81224-8122
Phone
(970) 368-3700
Fax
(970) 368-3714
NPI assigned
Feb 14, 2025
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Grace Adam Elliott, APN, MSN, PMHNP-BCNPI 1609548494
Title
Proprietor
Phone
(970) 368-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

319 Elk Avenue
Unit 1
Crested Butte, CO 81224-8122

Mailing address

PO Box 2075
Crested Butte, CO 81224-2075
Phone (970) 368-3700

Other names 1

  • Caring Hearts Psychiatric Mental Health Care PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701003979 CO Part B Supplier - Clinic/Group Practice 7618480799 Receives reassigned benefits from 1 practitioner
Practice locations: Crested Butte, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1639974561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2075",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812242075",
            "telephone_number": "970-368-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 ELK AVENUE",
            "address_2": "UNIT 1",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812248122",
            "telephone_number": "970-368-3700",
            "fax_number": "970-368-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ADAM ELLIOTT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "ADAM ELLIOTT",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "970-368-3700",
        "authorized_official_credential": "APN, MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Hearts Psychiatric Mental Health Care PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crested Butte, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.