Individual provider Active NPI

Michelle A Graham, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1780244285
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.024832 Issued in OH
Practice address
900 E Dublin Granville Rd
Columbus, OH 43229-2452
Phone
(614) 953-5219
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.024832 OH Primary

Addresses

Primary practice location

900 E Dublin Granville Rd
Columbus, OH 43229-2452

Mailing address

900 E Dublin Granville Rd
Columbus, OH 43229-2452
Phone (614) 953-5219

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190806004318 OH Practitioner - Nurse Practitioner 0941537450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Behavioral Columbus, LLCGroup PAC ID 2567755259, 12 clinicians

Practice addresses (Care Compare)

900 E Dublin Granville Rd
Columbus, OH 43229-2452
Phone (614) 706-2786

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Springs Physician Group, LLC Psychiatric/Mental Health CurrentSince Jul 3, 2019 Accepting new patients
TCN Behavioral Health Services, Inc. Psychiatric/Mental Health CurrentSince Mar 1, 2020 Accepting new patients
Sun Behavioral Columbus, LLC CurrentSince Nov 26, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

118 Maple Ave
Bellefontaine, OH 43311
Phone (937) 599-1975

900 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 706-2786

2085 Citygate Dr
Columbus, OH 43219
Phone (614) 300-9100

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

1522 E US Highway 36
#A
Urbana, OH 43078
Phone (937) 471-2956

452 W Market St
Xenia, OH 45385
Phone (937) 376-8744

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1780244285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292452",
            "telephone_number": "614-953-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292452",
            "telephone_number": "614-953-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.024832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.