Active NPI
Holly Ann Graber, DNP, FNP- BC, APNP
- Family Nurse Practitioner
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7747-33
- Practice address
- 423 Fortress Blvd
Morgantown, WV 26508-1351 - Phone
- (304) 225-2500
- NPI assigned
- Jul 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A167768 | IA | |
| Family Nurse Practitioner | 363LF0000X | 277.002189 | IL | |
| Family Nurse Practitioner | 363LF0000X | 114545 | NE | |
| Family Nurse Practitioner | 363LF0000X | 354581 | NY | |
| Family Nurse Practitioner | 363LF0000X | TH0005221 | IN | |
| Family Nurse Practitioner | 363LF0000X | 4704383781 | MI | |
| Family Nurse Practitioner | 363LF0000X | 297799 | AZ | |
| Physician Assistant | 363A00000X | 1088698 | TX | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0035247 | OH | |
| Family Nurse Practitioner | 363LF0000X | 7747-33 | WI | Primary |
Addresses
Primary practice location
423 Fortress Blvd
Morgantown, WV 26508-1351
Mailing address
169 Madison Ave Ste 2817
New York, NY 10016-5101
Phone (888) 553-2823
Other practice location 1
2723 S State St Ste 150
Ann Arbor, MI 48104-6188
Phone (888) 553-2823
Other practice location 2
8825 N 23rd Ave Ste 100
Phoenix, AZ 85021-4148
Phone (888) 553-2823
Other practice location 3
5851 Legacy Cir Fl 6
Plano, TX 75024-5966
Phone (888) 553-2823
Other practice location 4
50 S Main St Ste 260
Naperville, IL 60540-5485
Phone (888) 553-2823
Other practice location 5
600 Superior Ave E Ste 1300
Cleveland, OH 44114-2654
Phone (888) 553-2823
Other practice location 6
1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (888) 553-2823
Other practice location 7
699 Walnut St Ste 411
Des Moines, IA 50309-3962
Phone (888) 553-2823
Other practice location 8
169 Madison Ave Ste 2817
New York, NY 10016-5101
Phone (888) 553-2823
Other practice location 9
333 N Alabama St Ste 350
Indianapolis, IN 46204-2275
Phone (888) 553-2823
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10028954300 | Medicaid | NE | |
| 1093239279 | Medicaid | IL | |
| 1093239279 | Medicaid | MI | |
| 0049051 | Medicaid | OH |
Other names 1
- Holly Fish
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI, IL, TX, IN, NE, IA, OH, AZ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170819000286 | WI | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 2 organizations |
| I20240531002954 | MI | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 1 organization |
| I20240611003953 | IL | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 1 organization |
| I20240612001898 | TX | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 1 organization |
| I20240613003358 | IN | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 1 organization |
| I20240613003586 | NE | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 1 organization |
| I20240614000661 | IA | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 1 organization |
| I20240615000126 | OH | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 1 organization |
| I20240619000738 | AZ | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 1 organization |
| I20240701003160 | NY | Practitioner - Nurse Practitioner | 3476825878 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Seen Medical Group, P.a.
Practice addresses (Care Compare)
Poynette, WI 53955
Phone (888) 671-5902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1088698 | TX | MD | Physician Assistant |
| 297799 | AZ | MD | Family Nurse Practitioner |
| A167768 | IA | MD | Family Nurse Practitioner |
| TH0005221 | IN | MD | Family Nurse Practitioner |
| 114545 | NE | MD | Family Nurse Practitioner |
| 7747-33 | WI | MD | Family Nurse Practitioner |
Practice roles (12 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Family Practice PC | Physician Assistant | Current | Accepting new patients |
| Careathome Medical Practice Ky | Family | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Careathome Medical Practice | Family | Current | Accepting new patients |
| Seen Medical Group, P.a. | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Five Star Medical Office PC | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Parsley Medical Group FL PA | Past | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Perfect Health PC | Past | Accepting new patients |
Locations (25 of 35)
2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952
8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238
7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420
2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663
115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632
699 Walnut St
Ste 411
Des Moines, IA 50309
Phone (888) 563-2823
6165 NW 86th St
Johnston, IA 50131
Phone (515) 252-2522
50 S Main St
Ste 260
Naperville, IL 60540
25 E Schaumburg Rd
Ste 101
Schaumburg, IL 60194
Phone (630) 333-6218
333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
1795 Alysheba Way
Ste 7203
Lexington, KY 40509
Phone (859) 320-7019
15 Oak St
Ste 3
Needham, MA 02492
Phone (339) 499-9518
2723 S State St
Ste 150
Ann Arbor, MI 48104
Phone (734) 316-7880
1760 Abbey Rd
Fl 2
East Lansing, MI 48823
Phone (517) 305-2470
4712 Excelsior Blvd
St Louis Park, MN 55416
Phone (339) 499-9518
7280 NW 87th Ter
Ste 210C
Kansas City, MO 64153
406 N Main St
Ste B
Rolla, MO 65401
1201 O St
Ste 309
Lincoln, NE 68508
1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191
564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026
10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652
3 Columbus Cir
Fl 15
New York, NY 10019
Phone (347) 201-0783
287 Park Ave S
Fl 3
New York, NY 10010
Phone (917) 410-7931
169 Madison Ave
Ste 2829
New York, NY 10016
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- holly.graber.1@27511.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Family Medicine Physician
- New York, NY
- NPI 1467040345
AZ, Family, IA, IL, IN, MI, NE, OH, TX
-
- In Home Supportive Care Agency
- Baltimore, MD
- NPI 1164594099
NY, Physician Assistant
-
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
- Chiropractor
- Beaver Dam, WI
- NPI 1306389408
-
- Family Medicine Physician
- Juneau, WI
- NPI 1831410521
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- General Practice Physician
- Anchorage, AK
- NPI 1679330039
-
- Internal Medicine Physician
- Boston, MA
- NPI 1861815300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1093239279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MADISON AVE STE 2817",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165101",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 FORTRESS BLVD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265081351",
"telephone_number": "304-225-2500"
}
],
"practiceLocations": [
{
"address_1": "2723 S State St Ste 150",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481046188",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8825 N 23rd Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850214148",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5851 Legacy Cir Fl 6",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750245966",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 S Main St Ste 260",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605405485",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Superior Ave E Ste 1300",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441142654",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1299 Farnam St Ste 300",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681021857",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "699 Walnut St Ste 411",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503093962",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Madison Ave Ste 2817",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100165101",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 N Alabama St Ste 350",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462042275",
"country_code": "US",
"telephone_number": "888-553-2823",
"fax_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRABER",
"first_name": "HOLLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "DNP, FNP- BC, APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A167768",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277.002189",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "114545",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "354581",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "TH0005221",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704383781",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "297799",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "1088698",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0035247",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "7747-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10028954300",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093239279",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093239279",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049051",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "FISH",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.