STACEY A GRAHAM ACNP-BC
NPI 1215203138
Nurse Practitioner - Acute Care in Baltimore, MD
About Stacey A Graham Acnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY A GRAHAM ACNP-BC (NPI 1215203138) is an individual acute care provider in Baltimore, Maryland, licensed in Maryland (R175041) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey A Graham Acnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacey Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21201
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Stacey Graham's NPI number?
The NPI number for Stacey Graham is 1215203138. It was assigned to this individual provider in the NPPES registry on March 25, 2012.
Where is Stacey Graham located?
Stacey Graham practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-3179.
What is Stacey Graham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Stacey Graham enrolled in Medicare?
Yes. Stacey Graham is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacey Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Graham reassigns Medicare benefits to University Of Maryland Surgical Associates, PA (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacey Graham was last updated on February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Stacey A Graham, ACNP-BC · NPI 1215203138
Acute Care physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since March 25, 2012.
## Identity
- **NPI:** 1215203138 (Entity type: Individual)
- **Enumerated:** March 25, 2012
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** R175041 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1544
- **Phone:** (410) 328-3179
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Maryland Surgical Associates, PA (NPI 1962417634, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1215203138) · Data from the CMS NPPES public registry.