NPIMap

Individual provider Active NPI

Nadine Marie McGraw, PA-C

  • Physician Assistant
  • Mill Hall, PA
National Provider Identifier
1134326879
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018703 Issued in NY
Practice address
7133 Nittany Valley Dr
Mill Hall, PA 17751
Phone
(570) 726-7992
NPI assigned
Jun 27, 2007
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018703 NY Primary
Medical Physician Assistant 363AM0700X MA-052986 PA

Addresses

Primary practice location

7133 Nittany Valley Dr
Mill Hall, PA 17751

Mailing address

7133 Nittany Valley Dr
Mill Hall, PA 17751
Phone (570) 726-7992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150911002093 NY Practitioner - Physician Assistant 5092808238 Reassigns benefits to 3 organizations
I20220331001736 NC Practitioner - Physician Assistant 5092808238 Reassigns benefits to 5 organizations
I20220906002820 VA Practitioner - Physician Assistant 5092808238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Person Urgent Care LLCGroup PAC ID 9032478698, 11 clinicians

Practice addresses (Care Compare)

288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5000

3762 Durham Rd
Roxboro, NC 27573-2741
Phone (363) 330-0400

615 Ridge Rd
Roxboro, NC 27573-4629
Phone (336) 599-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018703NYMDPhysician Assistant
MA-052986PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Person Urgent Care LLC CurrentSince Jul 20, 2022 Accepting new patients
DLP Person Urgent Care LLC CurrentSince Jul 20, 2022 Accepting new patients
Washington Physician Services Physician Assistant Past Accepting new patients
Warren Healthcare Associates, Inc PastSince Sep 1, 2017 Accepting new patients
Lock Haven Clinic Company, LLC Physician Assistant Past Accepting new patients
Jersey Shore Hospital Foundation, Inc Past Accepting new patients

Locations

3762 Durham Rd
Roxboro, NC 27573
Phone (336) 330-0400

3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400

700 US 1 Hwy
Ste 100
Youngsville, NC 27596
Phone (919) 562-2340

Interoperability endpoints

  • Direct secure messaging: nadine.mcgraw.2@20247.direct.athenahealth.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1134326879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 NITTANY VALLEY DR",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "17751",
            "telephone_number": "570-726-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 NITTANY VALLEY DR",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "17751",
            "telephone_number": "570-726-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "NADINE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018703",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA-052986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Hall, PA

Sources for this page

Verify at the official NPI Registry.