Individual provider Active NPI

Cheryl A Graf, ARNP

  • Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1417027293
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30003943 Issued in WA
Practice address
5500 Olympic Dr
Gig Harbor, WA 98335-1487
Phone
(253) 858-7444
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30003943 WA Primary
Nurse Practitioner 363L00000X 66473 ID

Addresses

Primary practice location

5500 Olympic Dr
Gig Harbor, WA 98335-1487

Mailing address

5500 Olympic Dr
Gig Harbor, WA 98335-1487
Phone (253) 858-7444

Other practice location 1

1203 Idaho St
Lewiston, ID 83501-1940
Phone (208) 848-8300

Other identifiers 4

IdentifierTypeStateIssuer
0204136OtherWAL&I
GR6201OtherREGENCE
330606OtherWASTATE L&I
9619230MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031125000803 WA Practitioner - Nurse Practitioner 1759285224 Reassigns benefits to 5 organizations
I20231219003774 ID Practitioner - Nurse Practitioner 1759285224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Association of SpokaneGroup PAC ID 9638063217, 222 clinicians

Practice addresses (Care Compare)

1203 Idaho St
Lewiston, ID 83501-1940
Phone (208) 848-8300

803 S Main St
Suite 120
Moscow, ID 83843-2695
Phone (208) 848-8300

Hospital & facility affiliations

  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Dec 5, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 9, 2018 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Feb 2, 2023 Accepting new patients
Sea Mar Community Health Centers CurrentSince Feb 2, 2023 Accepting new patients
Community Health Association of Spokane CurrentSince Dec 5, 2023 Accepting new patients
Sea Mar Community Health Centers Nurse Practitioner Current Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 9, 2018 Accepting new patients
Northwest Physician Associates PC Nurse Practitioner CurrentSince Mar 17, 2009 Accepting new patients
Grays Harbor House Hospitalist CurrentSince Jun 1, 2013 Accepting new patients
Northwest Emergency Physicians LLC CurrentSince Dec 26, 2010 Accepting new patients
Grays Harbor Community Hospital CurrentSince Jun 1, 2013 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Community Health Association of Spokane Past Accepting new patients

Locations

1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300

803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

100 N 85th St
Seattle, WA 98103
Phone (206) 784-7601

611 N Iron Bridge Way
Spokane, WA 99202

1112 S Cushman Ave
Tacoma, WA 98405
Phone (253) 593-2144

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: cheryl.graf.1@11411.direct.athenahealth.com
  • Direct secure messaging: cgraf194435@ghc.direct-ci.net

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 2

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1417027293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 OLYMPIC DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351487",
            "telephone_number": "253-858-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 OLYMPIC DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351487",
            "telephone_number": "253-858-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Idaho St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835011940",
            "country_code": "US",
            "telephone_number": "208-848-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAF",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003943",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "66473",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0204136",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "GR6201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "330606",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9619230",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5500 Olympic Dr",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983351487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.