Individual provider Active NPI

Sylvia Ann Graber, ARNP

  • Family Nurse Practitioner
  • New London, IA
National Provider Identifier
1184714560
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A099739 Issued in IA
Practice address
111 W Washington St
New London, IA 52645-1329
Phone
(319) 367-2241
Fax
(319) 367-0549
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A099739 IA Primary

Addresses

Primary practice location

111 W Washington St
New London, IA 52645-1329

Mailing address

PO Box 118
New London, IA 52645-0118
Phone (319) 367-2241

Other identifiers 3

IdentifierTypeStateIssuer
39240 WAYLANDOtherIAWELLMARK BC #
39239 WINFIELDOtherIAWELLMARK BC #
3287839MedicaidIA

Other names 1

  • Sylvia A Moon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250715002486 IA Order and Referring Only - Nurse Practitioner 8325023799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Health Center, Inc. Past Accepting new patients
Ottumwa Regional Health Center Inc Past Accepting new patients
RCHP Ottumwa LLC Past Accepting new patients

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1184714560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "NEW LONDON",
            "state": "IA",
            "postal_code": "526450118",
            "telephone_number": "319-367-2241",
            "fax_number": "319-367-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WASHINGTON ST",
            "city": "NEW LONDON",
            "state": "IA",
            "postal_code": "526451329",
            "telephone_number": "319-367-2241",
            "fax_number": "319-367-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "SYLVIA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A099739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC #",
            "identifier": "39240 WAYLAND",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC #",
            "identifier": "39239 WINFIELD",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287839",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLVIA",
            "last_name": "MOON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New London, IA

Sources for this page

Verify at the official NPI Registry.