ADRIENNE LISA GRAHAM FNP
NPI 1184213167
Nurse Practitioner - Family in Lutz, FL

Q: What is Adrienne Graham's NPI number?

The NPI number for Adrienne Graham is 1184213167. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Q: What is Adrienne Graham'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 Adrienne Graham was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 13, 2021PECOS Enrolled

21758 STATE ROAD 54, LUTZ, FL 33549(813) 563-6070(813) 563-6040 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2021, Jan 13, 2021 (2 updates tracked since 2021).

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About Adrienne Lisa Graham Fnp NPPES

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

ADRIENNE LISA GRAHAM FNP (NPI 1184213167) is an individual family provider in Lutz, Florida, licensed in Florida (APRN11010827) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184213167

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameADRIENNE LISA GRAHAMCredential: FNP

Location Address21758 STATE ROAD 54Lutz, FL 33549-6921

Mailing Address21758 State Road 54Lutz, FL 33549-6921 · (813) 563-6070 · Fax (813) 563-6040

Phone(813) 563-6070

Fax(813) 563-6040

Sole ProprietorYes

Enumeration DateJanuary 13, 2021

Last NPPES UpdateFebruary 11, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2021

✔ NPI 1184213167 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 FL · APRN11010827

21758 STATE ROAD 54, Lutz, FL 33549

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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)

Adrienne Lisa Graham Fnp 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 33549 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 6

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

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