LACY JO GRAHAM APRN-C
NPI 1225439391
Nurse Practitioner - Family in Duarte, CA
About Lacy Jo Graham Aprn-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACY JO GRAHAM APRN-C (NPI 1225439391) is an individual family provider in Duarte, California, licensed in California (95010753) and active in the NPI registry since September 2014. 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)
Lacy Jo Graham Aprn-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lacy Graham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duarte, CA 91010
- Reassigned Medicare billing, California enrollment
- 1,335 clinicians in this Medicare group
Barnsdall, OK 74002
- Reassigned Medicare billing, Oklahoma enrollment
- 820 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91010 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Lacy Graham's NPI number?
The NPI number for Lacy Graham is 1225439391. It was assigned to this individual provider in the NPPES registry on September 9, 2014.
Where is Lacy Graham located?
Lacy Graham practices at 1500 E. Duarte Road, Duarte, CA 91010. The listed phone number is (626) 256-4673.
What is Lacy Graham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lacy Graham enrolled in Medicare?
Yes. Lacy Graham is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lacy Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Graham reassigns Medicare benefits to 2 organizations: City Of Hope Medical Foundation (Duarte, CA) and St. John Physicians, Inc (Barnsdall, OK). Each 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 Lacy 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 Lacy Graham was last updated on December 15, 2020. 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.
# Lacy Jo Graham, APRN-C · NPI 1225439391
Family physician in Duarte, California. Individual provider, active in the CMS NPPES registry since September 9, 2014.
## Identity
- **NPI:** 1225439391 (Entity type: Individual)
- **Enumerated:** September 9, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95010753 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E. DUARTE ROAD, Duarte, CA 91010
- **Phone:** (626) 256-4673
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): City Of Hope Medical Foundation (NPI 1871886366, Duarte, CA); St. John Physicians, Inc (NPI 1033176367, Barnsdall, OK) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1225439391) · Data from the CMS NPPES public registry.