Jessina Graham, APRN, C-NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

14613-33 Issued in WI

Practice address

2921 Landmark PL Ste 215
Madison, WI 53713-4248

Phone

(405) 824-1705

Fax

(608) 299-3707

NPI assigned

Aug 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1861801565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 LANDMARK PL SUITE 215",
            "address_2": "#418",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131825",
            "telephone_number": "405-824-1705",
            "fax_number": "405-307-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 LANDMARK PL STE 215",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134248",
            "telephone_number": "405-824-1705",
            "fax_number": "608-299-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JESSINA",
        "credential": "APRN, C-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "100661",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14613-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "100661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula J Graf, MD
• Ryan Michael Graf, M.D., M.S.
• Danita A Graham, APSW
• Georgia Elaine Graham, MD
• Jane Graham, DPT
• Lee Graham, APSW
• Nicole Elizabeth Graham, LPN
• Shannon Lee Graham, MSW, LCSW
• Stacy Marie Graham, PHARMD
• Stephanie Rene Graham, PHD

• Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.