Active NPI
Julie Marie Grachan, ARNP
- Women's Health Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1447694518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 9621-33
- Practice address
- 3522 W Lisbon Ave
Milwaukee, WI 53208-1953 - Phone
- (414) 935-8000
- NPI assigned
- Apr 19, 2013
- Last updated
- Apr 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 9621-33 | WI | Primary |
| Women's Health Clinical Nurse Specialist | 364SW0102X | ARNP9461140 | FL |
Addresses
Primary practice location
3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Mailing address
5942 Berryhill Rd
Milton, FL 32570-4009
Phone (850) 981-3700
Other practice location 1
5942 Berryhill Rd
Milton, FL 32570-4009
Phone (850) 981-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Phone 41493580001437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9621-33 | WI | MD | Women's Health Nurse Practitioner |
| ARNP9461140 | FL | MD | Women's Health Clinical Nurse Specialist |
Interoperability endpoints
- jgrachan293079@direct.ochin.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1720153653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1447694518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5942 BERRYHILL RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325704009",
"telephone_number": "850-981-3700",
"fax_number": "850-981-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3522 W LISBON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532081953",
"telephone_number": "414-935-8000"
}
],
"practiceLocations": [
{
"address_1": "5942 Berryhill Rd",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "FL",
"postal_code": "325704009",
"country_code": "US",
"telephone_number": "850-981-3700",
"fax_number": "850-981-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRACHAN",
"first_name": "JULIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-19",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WI",
"license": "9621-33",
"primary": true
},
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "FL",
"license": "ARNP9461140",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.