Alyssa Eden Graff, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1356 Issued in AR

Practice address

5212 W Village Pkwy Ste 8
Rogers, AR 72758-8190

Phone

(479) 324-2671

NPI assigned

Jun 27, 2022

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 names 1

• Alyssa Eden Watson Other name

Medicare fee-for-service enrollment

Enrolled in AR

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

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psyche Nwa LLCGroup PAC ID 7618465717, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Psyche Nwa LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rogers, AR
  • NPI 1598644700
  Medicare reassignment Care Compare group NPD
• John J Hopper MD PLLC

  • Psychiatry Physician
  • Rockport, TX
  • NPI 1346609369
  NPD

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1710619085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4357 W WEDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047517",
            "telephone_number": "918-833-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 W VILLAGE PKWY STE 8",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588190",
            "telephone_number": "479-324-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "ALYSSA",
        "middle_name": "EDEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "WATSON",
            "middle_name": "EDEN",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Courtney Jean Gorden, MS, RD
• Kristi Tennille Gorman, D.D.S
• Emily Elaine Goucher, APRN, WHNP-BC
• Lindsey Ann Goucher, APRN
• GPB Enterprises LLC
• Corey Kendall Graham, PT
• Alexa Blaire Grand, PA-C
• Phebe Joy Granderson, CNM
• Grant J Fowler D.D.S.
• Patrick Michael Grant Jr.

• Physician Assistant in Rogers, AR
• Providers in Rogers, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.