Individual provider Active NPI

Grace Gleason, APN

  • Adult Health Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1982991576
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
822282 Issued in NV
Practice address
3050 N Ormsby Blvd
Carson City, NV 89703-8378
Phone
(775) 781-0092
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 822282 NV Primary

Addresses

Primary practice location

3050 N Ormsby Blvd
Carson City, NV 89703-8378

Mailing address

PO Box 3299
Carson City, NV 89702-3299
Phone (775) 222-0042

Other identifiers 3

IdentifierTypeStateIssuer
1982991576OtherILTRICARE STANDARD
041346210OtherILNURSE REGISTERED PROFESSIONAL
209008861OtherILCERTIFIED NURSE PRACITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20190828003303 NV Practitioner - Nurse Practitioner 9234391970 Reassigns benefits to 1 organization
I20230414000139 CA Practitioner - Nurse Practitioner 9234391970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santibanez Pac NevadaGroup PAC ID 1153773288, 14 clinicians

Practice addresses (Care Compare)

3050 N Ormsby Blvd
Carson City, NV 89703-8378
Phone (775) 841-4646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
822282NVMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Nevada Nurse Practitioner CurrentSince Dec 30, 2025 Accepting new patients
Illinois Back and Joint PLLC CurrentSince Jan 19, 2023 Accepting new patients
Desert Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Carlos H Zambrano MD LLC Past Accepting new patients
Respiratory, Critical Care and Sleep Specialists, LLC Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155

3050 N Ormsby Blvd
Carson City, NV 89703
Phone (775) 841-4646

2898 US Highway 50 E
Carson City, NV 89701
Phone (775) 445-8795

1573 S Muller Pkwy
Gardnerville, NV 89410
Phone (775) 445-8795

Interoperability endpoints

  • Direct secure messaging: grace.gleason.p4@direct.regal.nextgenshare.com
  • Direct secure messaging: grace.gleason.p2@direct.mydohc.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDDCA
  • Direct secure messaging: ggreason170002@direct.renown.org

Organizations & group practices 5

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 2

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1982991576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3299",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897023299",
            "telephone_number": "775-222-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N ORMSBY BLVD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038378",
            "telephone_number": "775-781-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "GRACE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "822282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE STANDARD",
            "identifier": "1982991576",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE REGISTERED PROFESSIONAL",
            "identifier": "041346210",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACITIONER",
            "identifier": "209008861",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.