MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1225762057

MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) is a healthcare provider. based in Frankfort, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. 209025438 (IL). The NPI Number for MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) is 1225762057

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC)
NPI
1225762057
Phone
(708) 998-2979
Address
10209 W LINCOLN HWY
Enumeration Date
16 July 2022
Last Update Date
16 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7089982979
Graduation Year
2021 (5 years ago)
PAC ID
4880067297
Group Practice PAC ID
9830500610
Professional Enrollment ID
I20230306002755
Address ID
IL604231279FR10209HWYX400
Telehealth
Yes

Contacts

Main Contact
Kareo
Main Contact
KAREO
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC)

  • 10209 W LINCOLN HWY

    FRANKFORT, IL 604231279

    Phone: (708) 998-2979

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $2,211.

Total Amount is formed as General ($2,211) + Research ($0) + Ownership ($0) = $2,211.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($592).

Total Amount

$2,211

General + Research + Ownership

Payments

83

Total payment records

General Amount

$2,211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-06

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
I20230306002755INurse PractitionerILTBD

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 minutes11527$0
90833Psychotherapy with evaluation and management visit, 30 minutes8322$0
99215Established patient office or other outpatient visit, 40-54 minutes3014$0
View full utilization report →

Insurance plans in this area (ZIP 60423)

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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: 9830500610View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) with an NPI only?
You can start verification with NPI 1225762057 for MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC), then check state licensing separately.
Is MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) listed as active for patients and plans?
The listing shows MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) as active in the NPI system.
What taxonomy line describes MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC)?
For research purposes, treat MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) based?
MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) is tied to Frankfort, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about MRS. GRACE DIVINA ESMALLA (APRN, PMHNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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