HARIETTE ALISIA GRAHAM FNP
NPI 1245819937
Nurse Practitioner - Family in Cutler Bay, FL
About Hariette Alisia Graham Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HARIETTE ALISIA GRAHAM FNP (NPI 1245819937) is an individual family provider in Cutler Bay, Florida, licensed in Florida (11004463) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Hariette Alisia Graham Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Hariette Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Daytona Beach, FL 32117
- Reassigned Medicare billing, Florida enrollment
- 9 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 33190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Hariette Graham's NPI number?
The NPI number for Hariette Graham is 1245819937. It was assigned to this individual provider in the NPPES registry on April 7, 2021. The provider is also known as Hariette Alisia Graham Fnp.
Where is Hariette Graham located?
Hariette Graham practices at 9310 SW 221st St, Cutler Bay, FL 33190. The listed phone number is (917) 535-6978.
What is Hariette Graham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hariette Graham enrolled in Medicare?
Yes. Hariette 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.
Which organization bills Medicare for Hariette Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hariette Graham reassigns Medicare benefits to Florida Department Of Health (Daytona Beach, FL). 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 Hariette 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 Hariette Graham was last updated on April 7, 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.
# Hariette Alisia Graham, FNP · NPI 1245819937
Family physician in Cutler Bay, Florida. Individual provider, active in the CMS NPPES registry since April 7, 2021.
## Identity
- **NPI:** 1245819937 (Entity type: Individual)
- **Enumerated:** April 7, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11004463 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9310 SW 221ST ST, Cutler Bay, FL 33190-1448
- **Phone:** (917) 535-6978
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Florida Department Of Health (NPI 1831158039, Daytona Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 7, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1245819937) · Data from the CMS NPPES public registry.