Individual provider Active NPI

Nancy Graham, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Falmouth, MA
National Provider Identifier
1609864479
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
160848 Issued in MA
Practice address
182 Palmer Ave
Falmouth, MA 02540-2860
Phone
(508) 457-0088
Fax
(508) 457-0088
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 160848 MA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 160848 MA Primary

Addresses

Primary practice location

182 Palmer Ave
Falmouth, MA 02540-2860

Mailing address

182 Palmer Ave
Falmouth, MA 02540-2860
Phone (508) 457-0088

Other identifiers 1

IdentifierTypeStateIssuer
0326348MedicaidMA

Other names 1

  • Nancy Puetz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040724000249 MA Practitioner - Nurse Practitioner 5496735813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Jan Sebastian Dr
Sandwich, MA 02563-2377
Phone (508) 833-8247

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160848MAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Cape Cod Hospital Inc Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Bridgewater Pediatrics LLC Past Accepting new patients
Premier Diagnostic Services, Inc Past Accepting new patients
Good Samaritan Medical Practice Corp Past Accepting new patients

Locations

90 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-0088

90 Ter Heun Dr
Ste 200
Falmouth, MA 02540
Phone (508) 457-0088

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

2 Jan Sebastian Dr
Sandwich, MA 02563
Phone (508) 833-8247

Interoperability endpoints

  • Direct secure messaging: ngraham11623@direct.capecodhealthcare.masshiway.net

Organizations & group practices 7

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.

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1609864479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 PALMER AVE",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402860",
            "telephone_number": "508-457-0088",
            "fax_number": "508-540-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 PALMER AVE",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402860",
            "telephone_number": "508-457-0088",
            "fax_number": "508-457-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "NANCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "160848",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "160848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326348",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PUETZ",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.