Individual provider Active NPI

Jessica Lauren Graham, NP

  • Family Nurse Practitioner
  • Commerce Township, MI
National Provider Identifier
1992005011
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704279179 Issued in MI
Practice address
8800 Commerce Rd
Commerce Township, MI 48382-4413
Phone
(248) 363-7500
Fax
(248) 363-7700
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704279179 MI Primary

Addresses

Primary practice location

8800 Commerce Rd
Commerce Township, MI 48382-4413

Mailing address

8800 Commerce Rd
Commerce Township, MI 48382-4413
Phone (248) 363-7500

Other names 1

  • Miss Jessica Lauren Comstock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20110407000864 MI Practitioner - Nurse Practitioner 3173707619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commerce Primary Care, PC 7 clinicians

Practice addresses (Care Compare)

8800 Commerce Rd
Commerce Township, MI 48382-4413
Phone (248) 363-7500

Hospital & facility affiliations

  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704279179MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commerce Primary Care, PC CurrentSince Dec 29, 2018 Accepting new patients
Gratiot Medical Specialists, P.C. Past Accepting new patients

Locations

8800 Commerce Rd
Commerce Twp, MI 48382
Phone (248) 363-7500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20541/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jessica.graham.1@20541.direct.athenahealth.com
  • Direct secure messaging: jgraham425164@direct.hfhs.org

Organizations & group practices 2

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 1

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": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1992005011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 COMMERCE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824413",
            "telephone_number": "248-363-7500",
            "fax_number": "248-363-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 COMMERCE RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824413",
            "telephone_number": "248-363-7500",
            "fax_number": "248-363-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704279179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "COMSTOCK",
            "middle_name": "LAUREN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.