MS. SHELLEY ANN GRAHAM APRN
NPI 1245815661
Nurse Practitioner - Gerontology in Tavares, FL

Active since March 17, 2021PECOS EnrolledAccepts Medicare Assignment
4042 ABACO DR, TAVARES, FL 32778(352) 457-4007 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2021, Mar 19, 2021 (2 updates tracked since 2021).

About Ms. Shelley Ann Graham Aprn NPPES

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

MS. SHELLEY ANN GRAHAM APRN (NPI 1245815661) is an individual gerontology provider in Tavares, Florida, licensed in Florida (APRN11009724) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245815661
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. SHELLEY ANN GRAHAMCredential: APRN
Location Address4042 ABACO DRTavares, FL 32778-5905
Mailing Address4042 Abaco DrTavares, FL 32778-5905 · (352) 457-4007
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 17, 2021
Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
NPI 1245815661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in FL · APRN11009724
4042 ABACO DR, Tavares, FL 32778

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

Ms. Shelley Ann Graham Aprn 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 ID3577972975
PECOS Enrollment IDI20210517000373
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
181 services161 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services108 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
64 services64 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
59 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32778 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.

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 Shelley Graham's NPI number?

The NPI number for Shelley Graham is 1245815661. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Shelley Graham located?

Shelley Graham practices at 4042 Abaco Dr, Tavares, FL 32778. The listed phone number is (352) 457-4007.

What is Shelley Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shelley Graham enrolled in Medicare?

Yes. Shelley Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shelley Graham was last updated on March 23, 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.