MARY GRACE B NUEGA (NP) – Nurse Practitioner, NPI 1407342603

MARY GRACE B NUEGA (NP) is a healthcare provider. based in Fayetteville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN157187 (GA). The NPI Number for MARY GRACE B NUEGA (NP) is 1407342603

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARY GRACE B NUEGA (NP)
NPI
1407342603
Phone
(404) 367-3014
Address
1255 HIGHWAY 54 W
Enumeration Date
11 July 2018
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4784640789
Graduation Year
2018 (8 years ago)
PAC ID
2466798418
Group Practice PAC ID
2769812445
Professional Enrollment ID
I20190111000803
Address ID
GA312062151MA2494XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:7State licenses:4Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MARY GRACE B NUEGA (NP)

  • 1255 HIGHWAY 54 W

    FAYETTEVILLE, GA 302144526

    Phone: (404) 367-3014

    Fax: (770) 942-7699

    Type: Location

  • 1835 SAVOY DR STE 300

    ATLANTA, GA 303411071

    Phone: (678) 288-9555

    Fax: (678) 288-9556

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190111000803INurse PractitionerGATBD
I20221019002922INurse PractitionerMITBD
I20230612002729INurse PractitionerCATBD
I20240212002856INurse PractitionerFLTBD
I20240423002694INurse PractitionerTXTBD
I20240819001496INurse PractitionerNCTBD
I20250506001700INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5453$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes3221$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes3128$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 30214)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769812445View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerWI
Nurse PractitionerMD
Nurse PractitionerTX
Nurse PractitionerOH
Nurse PractitionerWA
Nurse PractitionerGA
Nurse PractitionerMN
Nurse PractitionerMD
Nurse PractitionerFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify MARY GRACE B NUEGA (NP) for billing?
Administrative and clinical systems typically use NPI 1407342603 for MARY GRACE B NUEGA (NP).
Is MARY GRACE B NUEGA (NP)'s NPI status active today?
Active status means MARY GRACE B NUEGA (NP)'s NPI record is not deactivated in the public file.
What type of care does MARY GRACE B NUEGA (NP) provide?
MARY GRACE B NUEGA (NP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MARY GRACE B NUEGA (NP)?
The directory associates MARY GRACE B NUEGA (NP) with Fayetteville, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.