Grace Primary Care PLLC
NPI 1679058804 · Family Nurse Practitioner · Crestwood, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Primary Care PLLC is a Family Nurse Practitioner organization in Crestwood, KY (NPI 1679058804).
Provider details
- NPI number
- 1679058804
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Renu George, Owner(502) 241-8488
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 6520 W Highway 22Crestwood, KY 40014Phone: (502) 241-8488
Registry dates
- Enumerated
- 2018-10-03
- Last updated
- 2019-06-11
Frequently asked questions
- What is Grace Primary Care PLLC's NPI number?
- Grace Primary Care PLLC's National Provider Identifier (NPI) is 1679058804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Primary Care PLLC?
- Grace Primary Care PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Grace Primary Care PLLC located?
- Grace Primary Care PLLC's practice location on file with NPPES is 6520 W Highway 22, Crestwood, KY 40014.
- What is Grace Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grace Primary Care PLLC is (502) 241-8488.
- Does Grace Primary Care PLLC accept Medicare?
- Grace Primary Care PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grace Primary Care PLLC?
- The authorized official listed on Grace Primary Care PLLC's NPPES record is Renu George, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Primary Care PLLC's NPI active?
- Yes — Grace Primary Care PLLC's NPI (1679058804) is active in the NPPES registry as of the last update on 2019-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.