Individual provider Active NPI

Barbra Long Gradus, FNP-BC

  • Family Nurse Practitioner
  • Willits, CA
National Provider Identifier
1962851337
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016871 Issued in CA
Practice address
84 Madrone St
Willits, CA 95490-4249
Phone
(707) 456-3062
Fax
(707) 456-3063
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 95016871 CA Primary
Family Nurse Practitioner 363LF0000X F340298-1 NY

Addresses

Primary practice location

84 Madrone St
Willits, CA 95490-4249

Mailing address

84 Madrone St
Willits, CA 95490-4249
Phone (707) 456-3062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20160811000306 NY Practitioner - Nurse Practitioner 9830483031 Reassigns benefits to 1 organization
I20210419000928 CA Practitioner - Nurse Practitioner 9830483031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

3 Marcela Dr
Suite D
Willits, CA 95490-5769
Phone (707) 459-4220

Hospital & facility affiliations

  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310
  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F340298-1NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Jan 5, 2019 Accepting new patients
New York Society for the Relief of Ruptured & Crippled Maintaining CurrentSince Jan 5, 2019 Accepting new patients
Ukiah Adventist Hospital CurrentSince Dec 8, 2021 Accepting new patients
Willits Hospital Inc. CurrentSince Dec 8, 2021 Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

260 Hospital Dr
Ste 107
Ukiah, CA 95482
Phone (707) 463-8003

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

84 Madrone St
Willits, CA 95490
Phone (707) 459-6855

535 E 70th St
New York, NY 10021

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1962851337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 MADRONE ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904249",
            "telephone_number": "707-456-3062",
            "fax_number": "707-456-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 MADRONE ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904249",
            "telephone_number": "707-456-3062",
            "fax_number": "707-456-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADUS",
        "first_name": "BARBRA",
        "middle_name": "LONG",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016871",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340298-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willits, CA

Sources for this page

Verify at the official NPI Registry.