Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Mary Ruettinger, PA

Individual provider Physician Assistant · NPI 1053796383

Grace Mary Ruettinger, PA is a Physician Assistant in Goodyear, Arizona. Qualified in 2015, 11 years ago. Practices with Adelante Healthcare, Inc, a 130-clinician group and accepts Medicare assignment. Licensed in Arizona, California and Illinois.

Years since qualifying
11
Licensed in
AZ, CA, IL
In the registry since
2015
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713
Phone: (480) 964-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9262 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 085006106 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 9262 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 52683 (CA)

Record details

NPI number1053796383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 28, 2015
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Adelante Healthcare, Inc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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