Individual provider Active NPI

Casey Michelle Graves, FNP-BC

  • Family Medicine Physician
  • Hillsboro, MO
National Provider Identifier
1124637681
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209021691 Issued in IL
Practice address
405 Main St
Hillsboro, MO 63050-4351
Phone
(636) 797-3737
Fax
(636) 797-4631
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209021691 IL Primary

Addresses

Primary practice location

405 Main St
Hillsboro, MO 63050-4351

Mailing address

405 Main St
Hillsboro, MO 63050-4351
Phone (636) 797-3737

Other identifiers 1

IdentifierTypeStateIssuer
2020014438OtherANCC CERTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Casey.graves@jeffcohealth.org Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209021691ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Health Department CurrentSince Aug 2, 2020 Accepting new patients
Compass Health, Inc PastSince Aug 2, 2020 Accepting new patients

Locations

405 Main St
Hillsboro, MO 63050
Phone (636) 677-9977

Interoperability endpoints

  • Direct secure messaging: casey.graves@jeffcohealth.org

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1124637681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630504351",
            "telephone_number": "636-797-3737",
            "fax_number": "636-797-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630504351",
            "telephone_number": "636-797-3737",
            "fax_number": "636-797-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "CASEY",
        "middle_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209021691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION",
            "identifier": "2020014438",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Casey.graves@jeffcohealth.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Work email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work email",
            "address_1": "405 Main St",
            "city": "Hillsboro",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630504351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.