Individual provider Active NPI

Reginald Carl Graves, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Belton, TX
National Provider Identifier
1801348321
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2018020811 Issued in TX
Practice address
3500 South Ih 35
Belton, TX 76513
Phone
(254) 939-2100
Fax
(254) 939-2334
NPI assigned
Nov 1, 2016
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132295 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2018020811 TX Primary

Addresses

Primary practice location

3500 South Ih 35
Belton, TX 76513

Mailing address

3500 South Ih 35
Belton, TX 76513
Phone (254) 939-2100

Other practice location 1

17511 Golden Glade Lane
Houston, TX 77095
Phone (713) 927-0145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170816001392 TX Practitioner - Nurse Practitioner 7810269578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Crest ClinicGroup PAC ID 9537063409, 8 clinicians

Practice addresses (Care Compare)

2206 E Central Texas Expy
Killeen, TX 76543-5315
Phone (254) 519-4162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018020811TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Crest Clinic CurrentSince Oct 15, 2023 Accepting new patients
Rock Springs Physician Group LLC Psychiatric/Mental Health CurrentSince Mar 25, 2019 Accepting new patients
Hmih Cedar Crest, LLC CurrentSince Oct 15, 2023 Accepting new patients
Cedar Crest Clinic Current Accepting new patients
D V Listengarten MD PLLC CurrentSince May 30, 2017 Accepting new patients
Insynch Health, PLLC Past Accepting new patients
Hmih Cedar Crest, LLC Past Accepting new patients

Locations

8402 Cross Park Dr
Austin, TX 78754
Phone (512) 215-3900

3500 S Interstate 35
Belton, TX 76513
Phone (254) 939-2100

1335 E Whitestone Blvd
#200
Cedar Park, TX 78613
Phone (512) 819-9400

700 SE Inner Loop
Georgetown, TX 78626
Phone (512) 351-8769

2206 E Central Texas Expy
Killeen, TX 76543
Phone (254) 213-5111

10004 Wurzbach Rd
San Antonio, TX 78230
Phone (210) 417-4142

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

8550 Huebner Rd
San Antonio, TX 78240
Phone (210) 229-9085

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, 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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1801348321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SOUTH IH 35",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "76513",
            "telephone_number": "254-939-2100",
            "fax_number": "254-939-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SOUTH IH 35",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "76513",
            "telephone_number": "254-939-2100",
            "fax_number": "254-939-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17511 Golden Glade Lane",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77095",
            "country_code": "US",
            "telephone_number": "713-927-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "REGINALD",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-01",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132295",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2018020811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

Verify at the official NPI Registry.