JASON WILLIAM DEGRAFF AGACNP-BC
NPI 1104562701
Nurse Practitioner - Acute Care in Los Angeles, CA
About Jason William Degraff Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON WILLIAM DEGRAFF AGACNP-BC (NPI 1104562701) is an individual acute care provider in Los Angeles, California, licensed in California (95029925) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Jason William Degraff Agacnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jason Degraff's NPI number?
The NPI number for Jason Degraff is 1104562701. It was assigned to this individual provider in the NPPES registry on May 7, 2022.
Where is Jason Degraff located?
Jason Degraff practices at 1225 Wilshire Blvd, Los Angeles, CA 90017. The listed phone number is (213) 977-2121.
What is Jason Degraff's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jason Degraff enrolled in Medicare?
Yes. Jason Degraff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jason Degraff was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Jason William Degraff, AGACNP-BC · NPI 1104562701
Acute Care physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 7, 2022.
## Identity
- **NPI:** 1104562701 (Entity type: Individual)
- **Enumerated:** May 7, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95029925 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 WILSHIRE BLVD, Los Angeles, CA 90017-1901
- **Phone:** (213) 977-2121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104562701) · Data from the CMS NPPES public registry.