Jennifer Elizabeth Graham, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

COA. 1611-NP Issued in OH

Practice address

970 East Washington Street
Medina, OH 44256

Phone

(330) 723-7999

NPI assigned

Jun 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A and S Khandelwal MD IncGroup PAC ID 1850358300, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integrity Home Care Home health agency, Middleburg Heights, OH, CCN 367533
• Medina Hospital Hospital, Medina, OH, CCN 360091

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgraham@askhandelwal.medentdirect.com

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.

• A & S Khandelwal MD Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Medina, OH
  • NPI 1487702718
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integrity Home Care, LTD.

  dba Integrity Home Care

  • Home Health Agency
  • Middleburg Heights, OH
  • NPI 1861544884
  Care Compare affiliation
• Medina Hospital

  • General Acute Care Hospital
  • Medina, OH
  • NPI 1083696710
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1356756241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 W SMITH RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567510",
            "telephone_number": "330-591-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EAST WASHINGTON STREET",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-723-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA. 1611-NP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "COA. 1611-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Goyette, DDS
• Jennifer L Grabenstetter, MD
• Dana Eileen Graf, PT
• Jason A Graf, PT
• Meghan M Graf, PT
• Karen M Graham
• Roxana Gramada, PMHNP
• Wayne Henry Grant, PHARMD
• Stephen Grater, CNP
• Leah Kelly Greco

• Primary Care Nurse Practitioner in Medina, OH
• Providers in Medina, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.