Individual provider Active NPI

Holly Ann Graber, DNP, FNP- BC, APNP

  • Family Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1093239279
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7747-33 Issued in WI
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

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10028954300MedicaidNE
1093239279MedicaidIL
1093239279MedicaidMI
0049051MedicaidOH

Other names 1

  • Holly Fish Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI, IL, TX, IN, NE, IA, OH, AZ, NY10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 8426580275, 12 clinicians

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

LicenseStateTypeSpecialty
1088698TXMDPhysician Assistant
297799AZMDFamily Nurse Practitioner
A167768IAMDFamily Nurse Practitioner
TH0005221INMDFamily Nurse Practitioner
114545NEMDFamily Nurse Practitioner
7747-33WIMDFamily Nurse Practitioner

Practice roles (12 of 16)

OrganizationSpecialtyStatusNew patients
Urban Family Practice PC Physician Assistant CurrentSince Jul 22, 2024 Accepting new patients
Careathome Medical Practice Ky Family CurrentSince May 1, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 19, 2017 Accepting new patients
Careathome Medical Practice Family CurrentSince Jul 22, 2024 Accepting new patients
Seen Medical Group, P.a. CurrentSince Dec 14, 2025 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 19, 2017 Accepting new patients
Five Star Medical Office PC CurrentSince Jul 22, 2024 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 PastSince Jun 9, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.