Individual provider Active NPI

Jane Ellen Graebner, D.P.M.

  • Podiatrist
  • Delaware, OH
National Provider Identifier
1639173198
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-002064 Issued in OH
Practice address
1871 W William St
Delaware, OH 43015-2255
Phone
(740) 363-4373
Fax
(740) 363-9560
NPI assigned
Jun 11, 2005
Last updated
Oct 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-002064 OH Primary

Addresses

Primary practice location

1871 W William St
Delaware, OH 43015-2255

Mailing address

1871 W William St
Delaware, OH 43015-2255
Phone (740) 363-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.84 of 100Reported as group
Quality
63.13
Improvement activities
40
Cost
75.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36-002064OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1639173198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 W WILLIAM ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152255",
            "telephone_number": "740-363-4373",
            "fax_number": "740-363-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 W WILLIAM ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152255",
            "telephone_number": "740-363-4373",
            "fax_number": "740-363-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEBNER",
        "first_name": "JANE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-11",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-002064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.