Julie Graf, APRN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Berwyn, IL
NPI 1114508272 · NPPES record last updated Jan 15, 2024
Key facts
- NPI
- 1114508272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209024774 (IL)
- Practice address
- 3249 Oak Park Ave
Berwyn, IL 60402-3429 - Phone
- (708) 783-2226
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- East Tennessee State University Quillen College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Loyola Medical Group LLC
Practice addresses (Care Compare)
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-0700
Hospital & facility affiliations
- Macneal Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231206000675 | IL | Practitioner - Nurse Practitioner | 4981005568 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209024774 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current |
Accepting new patients | |
| Loyola University Medical Center | Current |
Accepting new patients | |
| Loyola Medical Group LLC | Current |
Accepting new patients | |
| Vanderbilt University | Past |
Accepting new patients |
Locations
3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092
25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100
Interoperability endpoints
- jstavas384007@direct.vumc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 29633 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209024774 | IL | Yes |
Addresses
Primary practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 936-2000
Other practice location 1
1601 23rd Ave S
Nashville, TN 37212-3133
Phone (615) 327-7000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jstavas384007@direct.vumc.org | Direct |
Other providers in Berwyn, IL
- Gottlieb Community Health Services Corporation
- Gottlieb Community Health Services Corporation
- Gottlieb Community Health Services Corporation
- Gottlieb Community Health Services Corporation
- Christopher Gozali
- Mark V Graves
- Jalissa Gray
- James L Greco
- Michael Paul Greenwald
- Jennifer Jourjy Greiss
All providers in Berwyn, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.