Active NPI
Barbra Long Gradus, FNP-BC
- Family Nurse Practitioner
- Willits, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95016871
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Adventist Health Mendocino Coast
- Adventist Health Ukiah Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.41 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| F340298-1 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Society for the Relief of Ruptured & Crippled Maintaining | Current | Accepting new patients | |
| New York Society for the Relief of Ruptured & Crippled Maintaining | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Willits Hospital Inc. | Current | 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
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- 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.
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
-
- Special Hospital
- New York, NY
- NPI 1427496652
-
- Community/Retail Pharmacy
- Willits, CA
- NPI 1629432968
-
- Specialist
- Paramus, NJ
- NPI 1417357849
-
- Multi-Specialty Clinic/Center
- Ukiah, CA
- NPI 1417295643
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.