Renee Ann Graham, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R121509 Issued in MD

Practice address

1010 Bittinger Rd
Swanton, MD 21561-2100

Phone

(240) 321-4712

NPI assigned

Apr 11, 2023

Last updated

Apr 11, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, shared by 6 NPIs, 90 clinicians

West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
• Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315
• West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Virginia University Medical Corporation

  dba University Health Associates

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508

  MD

  Medicare reassignment Care Compare group NPD
• Potomac Valley Hospital of W VA , Inc

  • Emergency Medicine Physician
  • Keyser, WV
  • NPI 1316054919

  Family

  Medicare reassignment NPD
• Potomac Valley Hospital of W VA , Inc

  • Critical Access Hospital
  • Keyser, WV
  • NPI 1912979873
  Medicare reassignment NPD
• Potomac Valley Hospital of WV, Inc.

  • Internal Medicine Physician
  • Keyser, WV
  • NPI 1578305256
  NPD
• West Virginia University Medical Corporation

  dba Crisis Support and Recovery Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• Potomac Valley Hospital of W VA, Inc

  dba Elk Garden Rural Health Clinic

  • Rural Health Clinic/Center
  • Elk Garden, WV
  • NPI 1760499016
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• GRMC, Inc.

  • General Acute Care Hospital
  • Oakland, MD
  • NPI 1598417412
  Care Compare affiliation
• Potomac Valley Hospital of W VA , Inc

  • Critical Access Hospital
  • Keyser, WV
  • NPI 1912979873
  Care Compare affiliation
• West Virginia University Hospitals, Inc

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1841271459
  Care Compare affiliation

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1891481149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BITTINGER RD",
            "city": "SWANTON",
            "state": "MD",
            "postal_code": "215612100",
            "telephone_number": "240-321-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BITTINGER RD",
            "city": "SWANTON",
            "state": "MD",
            "postal_code": "215612100",
            "telephone_number": "240-321-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "RENEE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R121509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Dennis, LCSW-C
• Department of Juvenile Services (Backbone Mountain)
• Lorrie Michelle Filsinger-Miller, DPT, MPT
• Harlee Ann Friend
• Jacob Alexander Taylor
• Gladys Ticihnel

• Family Nurse Practitioner in Swanton, MD
• Providers in Swanton, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.