Individual provider Active NPI

Grace Hillard, AGPCNP-BC

  • Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1720492648
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95002236 Issued in CA
Practice address
16420 Perris Blvd
Moreno Valley, CA 92551-1135
Phone
(951) 571-2450
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95002236 CA
Gerontology Nurse Practitioner 363LG0600X APRN001880 NV
Nurse Practitioner 363L00000X 95002236 CA Primary
Adult Health Nurse Practitioner 363LA2200X APRN001880 NV

Addresses

Primary practice location

16420 Perris Blvd
Moreno Valley, CA 92551-1135

Mailing address

16420 Perris Blvd
Moreno Valley, CA 92551-1135
Phone (951) 571-2450

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
I20170210001053 CA Practitioner - Nurse Practitioner 5799004990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16420 Perris Blvd
Suite Q
Moreno Valley, CA 92551-1136
Phone (951) 571-2450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95002236CAMDAdult Health Nurse Practitioner
APRN001880NVMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation CurrentSince Jan 1, 2020 Accepting new patients
Piccs With Grace LLC CurrentSince May 23, 2026 Accepting new patients
American Current Care of California, a Medical Corporation Current Accepting new patients

Locations

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

16420 Perris Blvd
Ste Q
Moreno Valley, CA 92551
Phone (951) 571-2450

25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

21830 Cactus Ave
Riverside, CA 92518
Phone (951) 653-5291

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1720492648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 PERRIS BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511135",
            "telephone_number": "951-571-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16420 PERRIS BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511135",
            "telephone_number": "951-571-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLARD",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95002236",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APRN001880",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002236",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "APRN001880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.