GRACE HASSAN (NP) – Acute Care Nurse Practitioner, NPI 1396044012

GRACE HASSAN (NP) is a healthcare provider. based in Dayton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. COA.12234-NP (OH). The NPI Number for GRACE HASSAN (NP) is 1396044012

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
GRACE HASSAN (NP)
NPI
1396044012
Phone
(937) 252-2000
Address
1010 WOODMAN DR
Enumeration Date
21 March 2011
Last Update Date
13 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9372522000
Graduation Year
2010 (16 years ago)
PAC ID
5597949511
Group Practice PAC ID
3173426350
Professional Enrollment ID
I20110414000894
Address ID
OH454321400DA1010XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for GRACE HASSAN (NP)

  • 1010 WOODMAN DR

    DAYTON, OH 454321400

    Phone: (937) 252-2000

    Fax: (937) 252-3700

    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 135 Open Payments records for all available years, with a total value of $3,554.

Total Amount is formed as General ($3,554) + Research ($0) + Ownership ($0) = $3,554.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($1,053).

Total Amount

$3,554

General + Research + Ownership

Payments

135

Total payment records

General Amount

$3,554

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2011-04-14

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
I20110414000894INurse PractitionerOHTBD

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 minutes45083$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6412$0
99213Established patient office or other outpatient visit, 20-29 minutes2416$0
20610Aspiration and/or injection of fluid from large joint1311$0
96372Injection of drug or substance under skin or into muscle1312$0
View full utilization report →

Insurance plans in this area (ZIP 45432)

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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: 3173426350View full group profile
NameSpecialtyState
Physician AssistantOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Pain Management, Physical Medicine And RehabilitationMI
Nurse PractitionerOH
Physical Medicine And Rehabilitation, Interventional Pain ManagementOH

Reviews

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Frequently asked questions

How do I look up GRACE HASSAN (NP) by NPI?
Use NPI 1396044012 when you need to reference GRACE HASSAN (NP) in forms, claims, or directories.
Does this profile mean GRACE HASSAN (NP) is currently active?
Yes — GRACE HASSAN (NP) appears active in the national provider directory.
Does GRACE HASSAN (NP) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for GRACE HASSAN (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for GRACE HASSAN (NP)?
The page summarizes Dayton, Ohio for GRACE HASSAN (NP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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