TAMARRA GRAHAM APN, PMHNP-BC - NPI 1184306912 - Nurse Practitioner in Havertown, PA

Q: What is Tamarra Graham's NPI number?

The NPI number for Tamarra Graham is 1184306912. It was assigned to this individual provider in the NPPES registry on August 2, 2023.

Q: What is Tamarra Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tamarra Graham was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tamarra Graham Apn, Pmhnp-bc NPPES

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

TAMARRA GRAHAM APN, PMHNP-BC (NPI 1184306912) is an individual psychiatric/mental health provider in Havertown, Pennsylvania, licensed in Pennsylvania (SP027917) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1184306912

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTAMARRA GRAHAMCredential: APN, PMHNP-BC

Location Address2010 W CHESTER PIKE STE 314Havertown, PA 19083-2737

Mailing Address2010 W Chester Pike Ste 314Havertown, PA 19083-2737 · (610) 892-3800

Phone(610) 892-3800

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 2, 2023

Last NPPES UpdateJune 5, 2025

NPPES CertifiedJune 5, 2025

✔ NPI 1184306912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in PA · SP027917✔ Licensed in NJ · 26NJ14878500

2010 W CHESTER PIKE STE 314, Havertown, PA 19083

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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

Tamarra Graham Apn, Pmhnp-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.

PECOS PAC ID4486098746

PECOS Enrollment IDI20240215000469

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 19083 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 8

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

MADINA BAKHITOVA PSYD

Psychologist (Clinical)