Nicole Renee Grazioli, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP022552 Issued in PA

Practice address

333 Harrisburg Ave
Lancaster, PA 17603-2951

Phone

(717) 740-4100

NPI assigned

Oct 17, 2020

Sex

Female

Sole proprietor

Yes

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 PA

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

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 and National Provider Directory roles.

• Haven Behavioral Services of Reading, LLC

  • Psychiatric Hospital
  • Reading, PA
  • NPI 1629384292

  Multi-Specialty, PA

  Medicare reassignment NPD
• Lancaster Behavioral Health Hospital LLC

  • Psychiatric Hospital
  • Lancaster, PA
  • NPI 1063929115

  Multi-Specialty, PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1982203337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 RIDGE AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222552",
            "telephone_number": "814-512-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HARRISBURG AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032951",
            "telephone_number": "717-740-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIOLI",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen M Gray, LPC, CAADC
• Lois Frey Gray, LCSW
• Louis P Gray, MD
• Andrea Graybill, LSW
• Kelsa Hope Graybill, MA
• Stacy Greblick, CNS
• Alexandria Green
• Allison D Green, OT
• Gerald C Green III, D.M.D.
• Heather A. Green

• All providers in Lancaster, PA
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.