Carolyn Graham, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0316688 Issued in OH

Practice address

1900 Akron Rd
Wooster, OH 44691-2518

Phone

(330) 264-4489

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolyn Kline Former name

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare 2000 Community Clinic IncGroup PAC ID 3173743689, 14 clinicians

Comprehensive Internal Medicine IncGroup PAC ID 5395792345, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
• Pomerene Hospital Hospital, Millersburg, OH, CCN 360148

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Comprehensive Internal Medicine, Inc

  • Internal Medicine Physician
  • Wooster, OH
  • NPI 1336256247
  Medicare reassignment Care Compare group NPD
• Healthcare 2000 Community Clinic Inc

  • Rural Health Clinic/Center
  • Wooster, OH
  • NPI 1518206754
  Medicare reassignment Care Compare group NPD
• Healthcare 2000 Community Clinic Inc

  • Dentist
  • Wooster, OH
  • NPI 1023694171
  NPD

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

• City of Wooster

  • General Acute Care Hospital
  • Wooster, OH
  • NPI 1437156247
  Care Compare affiliation

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1548612682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4672 W BRITTON RD",
            "city": "BURBANK",
            "state": "OH",
            "postal_code": "442149750",
            "telephone_number": "330-464-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 AKRON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912518",
            "telephone_number": "330-264-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 Beall Ave",
            "address_purpose": "LOCATION",
            "city": "Wooster",
            "state": "OH",
            "postal_code": "446912342",
            "country_code": "US",
            "telephone_number": "330-263-8428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CAROLYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F0316688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "KLINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Marie Gower, LSW
• Bradley Gowins, LSW
• Cindy Graber
• Amanda Marie Graf, PA-C
• Bianca Graham
• Eric Brian Graham, DPT
• Stacey Lynn Graham
• Jharshon Graise
• Michelle Renee Graves
• Nichole M Graves, PEER RECOVERY SUPPOR

• Family Nurse Practitioner in Wooster, OH
• Providers in Wooster, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.