HEATHER GRAFTON APRN, FNP-C
NPI 1083299754
Nurse Practitioner - Family in Norcross, GA

Q: What is Heather Grafton's NPI number?

The NPI number for Heather Grafton is 1083299754. It was assigned to this individual provider in the NPPES registry on March 15, 2021.

Q: What is Heather Grafton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Grafton was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 15, 2021PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

6131 S NORCROSS TUCKER RD STE 6, NORCROSS, GA 30093(678) 205-1959 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Mar 15, 2021 (2 updates tracked since 2021).

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About Heather Grafton Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER GRAFTON APRN, FNP-C (NPI 1083299754) is an individual family provider in Norcross, Georgia, licensed in Georgia (RN269550) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2020).

NPPES Registry Identity

NPI1083299754

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER GRAFTONCredential: APRN, FNP-C

Location Address6131 S NORCROSS TUCKER RD STE 6Norcross, GA 30093-5536

Mailing Address7848 Kiverton PlSandy Springs, GA 30350-5890 · (678) 429-8641

Phone(678) 205-1959

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2020

Enumeration DateMarch 15, 2021

Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration

NPPES CertifiedMarch 1, 2023

✔ NPI 1083299754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN269550

6131 S NORCROSS TUCKER RD STE 6, Norcross, GA 30093

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Grafton Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284039959

PECOS Enrollment IDI20210818001150

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

99 services81 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.78

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA MARIA PENA PA-C

Physician Assistant