SAMUEL PAUL GRANTHAM DNP
NPI 1144965187
Nurse Practitioner - Family in Bremerton, WA

Q: What is Samuel Grantham's NPI number?

The NPI number for Samuel Grantham is 1144965187. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Q: What is Samuel Grantham'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 Samuel Grantham was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 04, 2022PECOS Enrolled

1 BOONE RD, BREMERTON, WA 98312(360) 475-4000 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, May 4, 2022 (2 updates tracked since 2022).

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About Samuel Paul Grantham Dnp NPPES

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

SAMUEL PAUL GRANTHAM DNP (NPI 1144965187) is an individual family provider in Bremerton, Washington, licensed in Arizona (325562) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144965187

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSAMUEL PAUL GRANTHAMCredential: DNP

Location Address1 BOONE RDBremerton, WA 98312-1898

Mailing Address4301 Jones Bridge RdBethesda, MD 20814-4799 · (301) 295-9004

Phone(360) 475-4000

Sole ProprietorNo

Enumeration DateMay 4, 2022

Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1144965187 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 AZ · 325562

1 BOONE RD, Bremerton, WA 98312

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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 (PECOS)

Samuel Paul Grantham Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98312 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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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.

DR. KAREN LOUISE BRAMER-FORTIER MD

Family Medicine