KATHRYN L GRACE (PA-C) – Physician Assistant, NPI 1467575639

KATHRYN L GRACE (PA-C) is a healthcare provider. based in Meridian, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-00542 (OR). The NPI Number for KATHRYN L GRACE (PA-C) is 1467575639

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN L GRACE (PA-C)
NPI
1467575639
Phone
(208) 367-5170
Address
3340 EAST GOLDSTONE WAY
Enumeration Date
10 April 2007
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417425023
Graduation Year
1997 (29 years ago)
PAC ID
4183675952
Group Practice PAC ID
8729075346
Professional Enrollment ID
I20161013000531
Address ID
OR978342506HA218XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for KATHRYN L GRACE (PA-C)

  • 3340 EAST GOLDSTONE WAY

    MERIDIAN, ID 836421026

    Phone: (208) 367-5170

    Fax: (208) 367-5180

    Type: Mailing

  • 3175 POCAHONTAS ROAD

    BAKER CITY, OR 97814

    Phone: (541) 523-4465

    Fax: (541) 523-4469

    Type: Location

  • PO BOX 647

    HALFWAY, OR 978340647

    Phone: (541) 742-5023

    Fax: (541) 742-7210

    Type: Mailing

  • 218 N. PINE STREET

    HALFWAY, OR 97834

    Phone: (417) 425-0235

    Fax: (541) 742-7210

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2012-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20120817000205IPhysician AssistantORTBD

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
85610Blood test, clotting time9312$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg4411$0
81002Urinalysis, manual test3623$0
View full utilization report →

Insurance plans in this area (ZIP 83642)

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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: 8729075346View full group profile
NameSpecialtyState
Family PracticeOR
-OR

Reviews

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Frequently asked questions

Does KATHRYN L GRACE (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATHRYN L GRACE (PA-C) uses 1467575639.
Does CMS list KATHRYN L GRACE (PA-C) as active?
Yes — KATHRYN L GRACE (PA-C) is active in the NPI listing used on this page.
What is KATHRYN L GRACE (PA-C) best known for clinically?
Directory data describes KATHRYN L GRACE (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KATHRYN L GRACE (PA-C) based?
KATHRYN L GRACE (PA-C) is tied to Meridian, Idaho in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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