JUSTINE GRADY (NP) – Family Nurse Practitioner, NPI 1639749419

JUSTINE GRADY (NP) is a healthcare provider. based in Worcester, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2272626 (MA). The NPI Number for JUSTINE GRADY (NP) is 1639749419

Main info

Female
5 Years Of Experience
Name
JUSTINE GRADY (NP)
NPI
1639749419
Phone
(508) 860-7700
Address
26 QUEEN ST STE 13
Enumeration Date
25 June 2021
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
6709277742
Professional Enrollment ID
I20211229001311
Address ID
MA016102473WO26XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JUSTINE GRADY (NP)

  • 26 QUEEN ST STE 13

    WORCESTER, MA 016102478

    Phone: (508) 860-7700

    Type: Location

  • 64 BOYDEN RD

    HOLDEN, MA 015202570

    Phone: (508) 829-6765

    Fax: (508) 829-1884

    Type: Mailing

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: 2021-12-29

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
I20211229001311INurse PractitionerMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7659$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4848$0
99214Established patient office or other outpatient visit, 30-39 minutes2319$0
G0008Administration of influenza virus vaccine1716$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1615$0
View full utilization report →

Insurance plans in this area (ZIP 01610)

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Reviews

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Frequently asked questions

What unique ID ties claims to JUSTINE GRADY (NP)?
NPI 1639749419 is assigned to JUSTINE GRADY (NP) under the national enumeration system.
Is JUSTINE GRADY (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JUSTINE GRADY (NP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JUSTINE GRADY (NP). Clinical services aligned with this taxonomy classification.
What location shows for JUSTINE GRADY (NP)?
We surface Worcester, Massachusetts for JUSTINE GRADY (NP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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