Individual provider Active NPI

Gracie Kay Hensinger, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1669264735
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95037812 Issued in CA
Practice address
888 Prospect St Ste 200
La Jolla, CA 92037-4261
Phone
(415) 849-2466
NPI assigned
May 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95037812 CA Primary
Registered Nurse 163W00000X 95418574 CA

Addresses

Primary practice location

888 Prospect St Ste 200
La Jolla, CA 92037-4261

Mailing address

801 A St Apt 109
San Diego, CA 92101-4537
Phone (812) 361-9028

Other practice location 1

8775 Aero Dr Ste 132
San Diego, CA 92123-1779
Phone (858) 609-8742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260521002919 CA Practitioner - Nurse Practitioner 3678043486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2204 S El Camino Real
Suite 315
Oceanside, CA 92054-6390

801 A St San Diego Ca USA
Apt 109
San Diego, CA 92101-4536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95418574CAMDRegistered Nurse
95037812CAMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1669264735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 A ST APT 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014537",
            "telephone_number": "812-361-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 PROSPECT ST STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374261",
            "telephone_number": "415-849-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8775 Aero Dr Ste 132",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231779",
            "country_code": "US",
            "telephone_number": "858-609-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSINGER",
        "first_name": "GRACIE",
        "middle_name": "KAY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95037812",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95418574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.