Individual provider Active NPI

Debra K Graesser, PA

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1225106974
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
174 Issued in NE
Practice address
15TH & U Streets
University Health Center
Lincoln, NE 68588-0618
Phone
(402) 472-5000
Fax
(402) 472-4593
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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 174 NE Primary

Addresses

Primary practice location

15TH & U Streets
University Health Center
Lincoln, NE 68588-0618

Mailing address

University Health Center
PO Box 880618
Lincoln, NE 68588-0618
Phone (402) 472-5000

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
174NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Nebraska Board of Regents Past Accepting new patients

Organizations & group practices 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1225106974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY HEALTH CENTER",
            "address_2": "PO BOX 880618",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880618",
            "telephone_number": "402-472-5000",
            "fax_number": "402-472-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15TH & U STREETS",
            "address_2": "UNIVERSITY HEALTH CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880618",
            "telephone_number": "402-472-5000",
            "fax_number": "402-472-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAESSER",
        "first_name": "DEBRA",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.