Grace Pediatrics Pl
NPI 1720362429 · Pediatric Nurse Practitioner · Lake City, FL
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Pediatrics Pl is a Pediatric Nurse Practitioner organization in Lake City, FL (NPI 1720362429).
Provider details
- NPI number
- 1720362429
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Colleen Thompson, Manager/Arnp/Co-Owner(386) 243-8474
- License
- 9220069 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2011-09-29
- Last updated
- 2014-02-19
Frequently asked questions
- What is Grace Pediatrics Pl's NPI number?
- Grace Pediatrics Pl's National Provider Identifier (NPI) is 1720362429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Pediatrics Pl?
- Grace Pediatrics Pl is classified in the NPPES registry as Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Grace Pediatrics Pl located?
- Grace Pediatrics Pl's practice location on file with NPPES is 4196 W US Highway 90, Lake City, FL 32055-8834.
- What is Grace Pediatrics Pl's phone number?
- The practice phone number listed in the NPPES registry for Grace Pediatrics Pl is (386) 243-8474.
- Does Grace Pediatrics Pl accept Medicare?
- Grace Pediatrics Pl 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 Pediatrics Pl?
- The authorized official listed on Grace Pediatrics Pl's NPPES record is Colleen Thompson, Manager/Arnp/Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Pediatrics Pl's NPI active?
- Yes — Grace Pediatrics Pl's NPI (1720362429) is active in the NPPES registry as of the last update on 2014-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.