Grace Erin Oppenheim, NP
Nurse Practitioner · Stanford
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 2
Offices
2 locations · Stanford Health Care · Providence Health and Services- Washington
Looking this up.
Hospitals listed: Providence Regional Medical Center Everett. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Grace Erin Oppenheim’s office to ask if they take your plan before you enroll.
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Providence Regional Medical Center EverettEverett, WAAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Providence, which runs 54 hospitals in 7 statesPatients rate it 2 of 5 · 62% would definitely recommend itOverall rating: 4 of 5 starsWorse than the national rate — In-hospital fall-associated fracture rate: 0.49 (0.31 to 0.67) · 8,734 cases, Jul 2022 – Jun 2024Worse than the national rate — SSI - Colon Surgery: 2.236, Oct 2024 – Sep 2025Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.154, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.285, Oct 2024 – Sep 2025
See every measure and the patient survey for Providence Regional Medical Center Everett
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 4 better, 4 the same, 0 worse of 8 measures. Readmissions: 1 better, 7 the same, 1 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| In-hospital fall-associated fracture rateComplications and deaths | 0.49 (0.31 to 0.67) · 8,734 cases | Worse | Jul 2022 – Jun 2024 |
| SSI - Colon SurgeryInfections | 2.236 | Worse | Oct 2024 – Sep 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.154 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.285 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.15 (0.24 to 2.06) · 1,392 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.01 (0.75 to 1.27) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 194 (143.98 to 244.01) · 100 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.5 · 95 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 11.2 · 162 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.4 · 283 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 12.4 · 508 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 17.1 · 435 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.6 · 728 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.2 · 6,479 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.13 (0 to 0.32) · 8,628 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 2.8 (1.01 to 4.59) · 2,567 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.63 (0.26 to 2.99) · 1,127 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 1.75 (0.43 to 3.07) · 2,399 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.83 (4.02 to 13.64) · 1,099 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.79 (1.63 to 7.94) · 1,098 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.76 (0.36 to 3.16) · 439 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.82 (0.24 to 1.4) · 7,004 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.8 · 177 cases | None | Apr 2023 – Mar 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.578 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.608 | No different | Oct 2024 – Sep 2025 |
| SSI - Abdominal HysterectomyInfections | 2.674 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 12.9 · 630 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.1 · 1,105 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 4.6 · 320 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -4.2 · 545 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 2.5 · 422 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.8 · 916 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.9 · 165 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 8.8 · 153 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20.4 · 436 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 12.7 (9.6 to 17.2) · 213 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1 (0.7 to 1.2) · 675 cases | No different | Jan 2024 – Dec 2024 |
What patients said (549 patients answered, 19% of those asked)
| Cleanliness | 2 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 2 |
| Quietness | 2 |
| Recommend hospital | 3 |
| Room was "always" clean | 61% |
| Nurses "always" communicated well | 72% |
| Doctors "always" communicated well | 72% |
| Staff "always" explained | 55% |
| Yes, staff "did" give patients this information | 85% |
| Yes, staff "did" give patients information about help after discharge | 83% |
| Doctors "always" explained things so they could understand | 67% |
| Doctors "always" listened carefully | 70% |
| Doctors "always" treated them with courtesy and respect | 78% |
| Patients who gave a rating of "9" or "10" (high) | 58% |
| Staff "always" explained new medications | 69% |
| Nurses "always" explained things so they could understand | 67% |
| Nurses "always" listened carefully | 69% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 48% |
| "YES", patients would definitely recommend the hospital | 62% |
| Staff "always" explained possible side effects | 40% |
| Yes, staff "did" give patients information about possible symptoms | 87% |
Original Medicare doctor bills
$2,877
Medicare paid this office $2,877 for 37 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Hospital discharge day management, more than 30 minutes | 21 | $1,414 | $67 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 13 | $952 | $73 |
Who their Medicare patients are
37 Original Medicare patients in 2024. Average age 78 · Women 62% · Health risk score 1.42. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 75% · Chronic kidney disease 51% · Coronary heart disease 49% · Diabetes 38% · COPD 38% · Depression 38%.
The office billed $14,388, Medicare allowed $3,931 and paid $2,877; for 39 services of 4 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 37 | 39 | 78 | 1.42 | $14,388 | $2,877 |
| 2023 | 115 | 150 | 74 | 1.42 | $59,596 | $12,013 |
| 2022 | 150 | 180 | 75 | 1.50 | $76,162 | $13,586 |
| 2021 | 217 | 283 | 75 | 1.61 | $81,450 | $21,561 |
| 2020 | 272 | 357 | 74 | 1.79 | $108,171 | $29,972 |
| 2019 | 286 | 362 | 73 | 1.70 | $108,658 | $30,198 |
| 2018 | 107 | 130 | 75 | 1.54 | $35,358 | $10,104 |
| 2015 | 84 | 101 | 68 | 1.40 | $12,726 | $4,058 |
| 2014 | 185 | 291 | 68 | 1.27 | $29,417 | $11,035 |
| 2013 | 89 | 117 | 69 | 1.35 | $8,141 | $3,517 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 4 services
| Hospital discharge day management, more than 30 minutes | 50 | $3,555 | $71 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 25 | $2,793 | $112 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 26 | $2,389 | $75 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 15 | $760 | $51 |
2022: 4 services
| Initial hospital observation care per day, typically 70 minutes | 45 | $5,103 | $113 |
| Emergency department visit with high level of medical decision making | 19 | $2,305 | $121 |
| Hospital observation care on day of discharge | 45 | $1,952 | $43 |
| Follow-up observation care per day, typically 35 minutes | 23 | $1,416 | $62 |
2021: 5 services
| Initial hospital observation care per day, typically 70 minutes | 76 | $8,991 | $118 |
| Hospital observation care on day of discharge | 85 | $4,273 | $49 |
| Follow-up observation care per day, typically 35 minutes | 53 | $4,189 | $70 |
| Hospital discharge day management, more than 30 minutes | 14 | $1,023 | $73 |
| Follow-up observation care per day, typically 25 minutes | 14 | $689 | $46 |
2020: 7 services
| Initial hospital observation care per day, typically 70 minutes | 108 | $13,684 | $126 |
| Hospital observation care on day of discharge | 98 | $4,852 | $49 |
| Follow-up observation care per day, typically 35 minutes | 63 | $4,781 | $72 |
| Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes | 15 | $2,161 | $144 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 21 | $1,735 | $72 |
| Hospital discharge day management, more than 30 minutes | 21 | $1,524 | $73 |
| Follow-up observation care per day, typically 25 minutes | 13 | $683 | $49 |
2019: 8 services
| Initial hospital observation care per day, typically 70 minutes | 116 | $14,664 | $125 |
| Hospital observation care on day of discharge | 124 | $6,308 | $50 |
| Initial hospital care with same-day admission and discharge with high level of medical decision making, per day at least 85 minutes | 18 | $2,694 | $150 |
| Follow-up observation care per day, typically 35 minutes | 22 | $1,657 | $72 |
| Hospital discharge day management, more than 30 minutes | 18 | $1,329 | $74 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 14 | $1,216 | $72 |
| Follow-up observation care per day, typically 25 minutes | 17 | $855 | $50 |
| Subsequent hospital care with moderate levelof medical decision making at least 35 minutes | 12 | $751 | $50 |
2018: 3 services
| Initial hospital observation care per day, typically 70 minutes | 41 | $5,095 | $124 |
| Hospital observation care on day of discharge | 52 | $2,545 | $49 |
| Follow-up observation care per day, typically 25 minutes | 12 | $595 | $50 |
2015: 2 services
| Short return visit (20+ min) | 74 | $3,052 | $40 |
| Return visit (30+ min) | 11 | $740 | $67 |
2014: 3 services
| Short return visit (20+ min) | 104 | $6,503 | $49 |
| Short return visit | 87 | $2,688 | $26 |
| Administration of influenza virus vaccine | 14 | $393 | $26 |
2013: 1 service
| Short return visit | 86 | $3,006 | $31 |
Medicaid work
$735 in 2023
Medicaid paid $735 for 12 billed services this clinician did in 2023, up to 12 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 12 | $735 |
| 2023 | 12 | 1 | 12 | $735 |
| 2021 | 119 | 3 | 18 | $5,559 |
| 2020 | 139 | 3 | 17 | $6,394 |
| 2019 | 197 | 3 | 23 | $10,797 |
| 2018 | 60 | 2 | 22 | $2,910 |
See the largest Medicaid services in earlier years
2021
| INITIAL OBSERVATION CARE | 42 | $3,394 |
| OBSERVATION CARE DISCHARGE | 60 | $1,848 |
| SBSQ OBSERVATION CARE/DAY 35 MINUTES | 17 | $317 |
2020
| INITIAL OBSERVATION CARE | 32 | $2,361 |
| SBSQ OBSERVATION CARE/DAY 35 MINUTES | 44 | $2,160 |
| OBSERVATION CARE DISCHARGE | 63 | $1,873 |
2019
| INITIAL OBSERVATION CARE | 81 | $7,039 |
| OBSERVATION CARE DISCHARGE | 103 | $3,045 |
| SBSQ OBSERVATION CARE/DAY 35 MINUTES | 13 | $713 |
2018
| INITIAL OBSERVATION CARE | 22 | $1,687 |
| OBSERVATION CARE DISCHARGE | 38 | $1,223 |
Money from drug and device companies
$68 in 2025
| 2025 | 1 | 1 | None | $68 |
| 2021 | 1 | 1 | None | $18 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Abbvie | Botox | $68 | 1 payment
|
See the published payment
| Abbvie | Meals · 2025-09-25 | Botox | $68 |
See earlier years (2021)
2021: $18
| Galderma Laboratories L.P. | None | $18 | 1 payment
|
Professional record
- NPI
- 1013355411
- Licence
- PA SP012894
- Group
- Stanford Health Care · Providence Health and Services- Washington
- Gender
- Female
More record details
- Sole proprietor
- No
- Medicaid ID
- PA 102878949
- Taxonomy
- Nurse practitioner (363L00000X); Federal specialty code 363LF0000X (363LF0000X)
- Mailing address
- 300 Pasteur Dr, Stanford, CA, 94305
- NPI first listed
- 2013-06-06
- NPI last updated
- 2025-09-19
- NPI record certified
- 2025-09-19
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 3925 159th Ave Ne, Redmond, WA, 98052