Individual provider Active NPI

Syretta McGraw, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ft Carson, CO
National Provider Identifier
1083203590
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0996163 Issued in CO
Practice address
1650 Cochrane Circle
Ft Carson, CO 80913
Phone
(719) 503-7424
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0996163 CO Primary

Addresses

Primary practice location

1650 Cochrane Circle
Ft Carson, CO 80913

Mailing address

753 Maleta LN Ste 204
Castle Rock, CO 80108-7609
Phone (303) 993-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210406001204 CO Practitioner - Nurse Practitioner 7810304086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7222 Commerce Ctr Dr
Suite 220
Colorado Springs, CO 80919-2631
Phone (719) 772-6377

Merit-based Incentive Payment System (MIPS)

Final score
98.41 of 100Reported as group
Quality
100
Improvement activities
40
Cost
61.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0996163COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med Management Associates of Colorado LLC CurrentSince Jan 6, 2024 Accepting new patients
SMC Mental Health Services, LLC Psychiatric/Mental Health CurrentSince May 27, 2023 Accepting new patients

Locations

7222 Commerce Center Dr
Ste 220
Colorado Springs, CO 80919
Phone (719) 233-0383

290 S Monaco Street Pkwy
Denver, CO 80224
Phone (303) 355-2525

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Interoperability endpoints

  • Direct secure messaging: heartcenteredcounseling.syrettamcgraw@146010.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1083203590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 MALETA LN STE 204",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087609",
            "telephone_number": "303-993-6071",
            "fax_number": "720-358-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIRCLE",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-503-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "SYRETTA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0996163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Carson, CO

Sources for this page

Verify at the official NPI Registry.