MARISSA S. GRACIANO (MSN, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1619506789

MARISSA S. GRACIANO (MSN, APRN, FNP-BC) is a healthcare provider. based in Uvalde, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-BC. They hold a License No. AP145918 (TX). The NPI Number for MARISSA S. GRACIANO (MSN, APRN, FNP-BC) is 1619506789

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA S. GRACIANO (MSN, APRN, FNP-BC)
NPI
1619506789
Phone
(830) 278-4588
Address
1020 E LEONA RD
Enumeration Date
2 April 2020
Last Update Date
5 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8302784588
Graduation Year
2020 (6 years ago)
PAC ID
5395280069
Group Practice PAC ID
7315832722
Professional Enrollment ID
I20240717003790
Address ID
TX788014804UV1020XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARISSA S. GRACIANO (MSN, APRN, FNP-BC)

  • 1020 E LEONA RD

    UVALDE, TX 788014804

    Phone: (830) 278-4588

    Type: Location

  • PO BOX 337

    CRYSTAL CITY, TX 788390337

    Phone: (830) 279-3118

    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: 2024-07-17

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
I20240717003790INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78801)

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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: 7315832722View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Certified Registered Nurse Anesthetist (Crna)TX
Family PracticeTX
Nurse PractitionerTX
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Family PracticeTX
Certified Registered Nurse Anesthetist (Crna)TX
Diagnostic RadiologyNC

Reviews

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Frequently asked questions

What NPI should I save for MARISSA S. GRACIANO (MSN, APRN, FNP-BC)?
Save NPI 1619506789 if you need a stable reference for MARISSA S. GRACIANO (MSN, APRN, FNP-BC).
Does this profile mean MARISSA S. GRACIANO (MSN, APRN, FNP-BC) is currently active?
Yes — MARISSA S. GRACIANO (MSN, APRN, FNP-BC) appears active in the national provider directory.
Does MARISSA S. GRACIANO (MSN, APRN, FNP-BC) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MARISSA S. GRACIANO (MSN, APRN, FNP-BC). Clinical services aligned with this taxonomy classification.
Where is MARISSA S. GRACIANO (MSN, APRN, FNP-BC)'s primary listing?
We display Uvalde, Texas because that is what the record indicates for MARISSA S. GRACIANO (MSN, APRN, FNP-BC).
What if Uvalde, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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