Individual provider Active NPI

Jennifer L. Graff, MD

  • Obstetrics & Gynecology Physician
  • Flagstaff, AZ
National Provider Identifier
1114108347
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
46256 Issued in AZ
Practice address
1100 North San Francisco St.
#B
Flagstaff, AZ 86001-3260
Phone
(928) 779-7854
Fax
(928) 774-0508
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 46256 AZ Primary

Addresses

Primary practice location

1100 North San Francisco St.
#B
Flagstaff, AZ 86001-3260

Mailing address

1100 North San Francisco St.
#B
Flagstaff, AZ 86001-3260
Phone (928) 779-7854

Other practice location 1

340 S Willard St Ste 101
Cottonwood, AZ 86326-4126
Phone (928) 639-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520001629 AZ Practitioner - Obstetrics/Gynecology 9335202159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

340 S Willard St
Cottonwood, AZ 86326-4126
Phone (928) 639-6025

7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC Obstetrics & Gynecology CurrentSince Nov 27, 2023 Accepting new patients
Northern Arizona Healthcare Corporation Obstetrics & Gynecology CurrentSince Dec 31, 2024 Accepting new patients
Flagstaff OBGYN LLC Obstetrics & Gynecology Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Dec 31, 2024 Accepting new patients
Flagstaff Medical Center Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients

Locations

340 S Willard St
Ste 201
Cottonwood, AZ 86326
Phone (928) 634-5551

340 S Willard St
Ste 101
Cottonwood, AZ 86326
Phone (928) 639-2015

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1100 N San Francisco St
Ste B
Flagstaff, AZ 86001
Phone (928) 779-7851

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

2424 N Wyatt Dr
Fl 2
Tucson, AZ 85712
Phone (520) 545-0930

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1114108347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NORTH SAN FRANCISCO ST.",
            "address_2": "#B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013260",
            "telephone_number": "928-779-7854",
            "fax_number": "928-774-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTH SAN FRANCISCO ST.",
            "address_2": "#B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013260",
            "telephone_number": "928-779-7854",
            "fax_number": "928-774-0508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S Willard St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264126",
            "country_code": "US",
            "telephone_number": "928-639-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "46256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.