Individual provider Active NPI

Sharon M Graaf, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milford, PA
National Provider Identifier
1417304809
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP015309 Issued in PA
Practice address
10 Buist Rd Ste 304
Milford, PA 18337-9311
Phone
(888) 918-5465
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP015309 PA Primary

Addresses

Primary practice location

10 Buist Rd Ste 304
Milford, PA 18337-9311

Mailing address

98 Winter Harvest Dr
Bear Creek Township, PA 18702-8258
Phone (570) 954-1200

Other practice location 1

Sullivan County Dept of Community Services
20 Community Lane
Liberty, NY 12754-0681
Phone (845) 292-8770

Other practice location 2

98 Winter Harvest Dr
Bear Creek Township, PA 18702-8258
Phone (570) 954-1200

Other identifiers 2

IdentifierTypeStateIssuer
742746-01OtherNYREGISTERED PROFESSIONAL NURSE
F402333-01OtherNYNURSE PRACTITIONER IN PSYCHIATRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170503000091 PA Practitioner - Nurse Practitioner 6901183839 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Health Services Inc CurrentSince Nov 1, 2024 Accepting new patients
Rose Resiliency Center Past Accepting new patients

Organizations & group practices 2

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1417304809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 WINTER HARVEST DR",
            "city": "BEAR CREEK TOWNSHIP",
            "state": "PA",
            "postal_code": "187028258",
            "telephone_number": "570-954-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BUIST RD STE 304",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379311",
            "telephone_number": "888-918-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sullivan County Dept of Community Services",
            "address_2": "20 Community Lane",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "NY",
            "postal_code": "127540681",
            "country_code": "US",
            "telephone_number": "845-292-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Winter Harvest Dr",
            "address_purpose": "LOCATION",
            "city": "Bear Creek Township",
            "state": "PA",
            "postal_code": "187028258",
            "country_code": "US",
            "telephone_number": "570-954-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAAF",
        "first_name": "SHARON",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-10-20",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP015309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "742746-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER IN PSYCHIATRY",
            "identifier": "F402333-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

Verify at the official NPI Registry.