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STACEY A GRAHAM ACNP-BC
NPI 1215203138
Nurse Practitioner - Acute Care in Baltimore, MD

Active since March 25, 2012PECOS Enrolled
100/100
CMS Quality Rating
22 S GREENE ST, BALTIMORE, MD 21201(410) 328-3179 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1215203138
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSTACEY A GRAHAMCredential: ACNP-BC
Location Address22 S GREENE STBaltimore, MD 21201-1544
Mailing Address22 S Greene StBaltimore, MD 21201-1544 · (410) 328-3179
Phone(410) 328-3179
Sole ProprietorNo
Enumeration DateMarch 25, 2012
Last NPPES UpdateFebruary 20, 2014
✔ NPI 1215203138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MD · R175041
22 S GREENE ST, Baltimore, MD 21201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey A Graham Acnp-bc 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 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.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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. LEONARD ANANG SOWAH M.D.
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-4619
VISHAL BHATNAGAR MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NANCE J FOX P.A.-C
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Baltimore City (410) 328-1170
HILARY TAMARA WOLF MD
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 328-7373
MS. LINDSAY BREAM O'MEARA CRNP
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Baltimore City (410) 328-3365
NORA T OLIVER M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756
SHOSHANA JO WEINER
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (617) 214-1332
JENNA VANLIERE CANZONIERO M.D.
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756

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.

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.