ALISSA GRACY – Acute Care Nurse Practitioner, NPI 1295201408

ALISSA GRACY is a healthcare provider. based in Petoskey, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704259828 (MI). The NPI Number for ALISSA GRACY is 1295201408

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA GRACY
NPI
1295201408
Phone
Not provided
Address
611 WOODLAND AVE
Enumeration Date
16 October 2018
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2314873637
Graduation Year
2018 (8 years ago)
PAC ID
9537404009
Group Practice PAC ID
6103733092
Professional Enrollment ID
I20190103000633
Address ID
MI497702278PE560XXSTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for ALISSA GRACY

  • 611, Woodland Avenue, Petoskey, Emmet County, Michigan, 49770, United States

    PETOSKEY, MI 497702764

    Phone:

    Type: Mailing

  • West Branch Regional Medical Center, 2463, South M-30, West Branch, Ogemaw Township, Ogemaw County, Michigan, 48661, United States

    WEST BRANCH, MI 486619312

    Phone: (989) 345-3660

    Type: Location

  • 2463 S M 30

    WEST BRANCH, MI 486619312

    Phone:

    Type: Mailing

  • 560 W MITCHELL ST STE M40

    PETOSKEY, MI 497702278

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,146.

Total Amount is formed as General ($1,146) + Research ($0) + Ownership ($0) = $1,146.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: ABBVIE INC. ($204).

Total Amount

$1,146

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-01-03

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
I20190103000633INurse PractitionerMITBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1515$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 49770)

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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: 6103733092View full group profile
NameSpecialtyState
General SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
N E U R O L O G YMI
-MI
Infectious Disease, Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
General SurgeryMI
-MI

Reviews

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Frequently asked questions

How is ALISSA GRACY identified in CMS data?
CMS-hosted NPPES data lists ALISSA GRACY with NPI 1295201408.
Is ALISSA GRACY still practicing?
ALISSA GRACY is currently listed as active in the public NPI registry.
What is ALISSA GRACY's specialty?
The listing groups ALISSA GRACY with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ALISSA GRACY based?
ALISSA GRACY is tied to Petoskey, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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