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MICHELLE SLOAN GRAHAM CRNP
NPI 1255894994
Nurse Practitioner - Family in Somerville, AL

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
4166 HIGHWAY 36 E, SOMERVILLE, AL 35670(256) 778-7172(256) 778-8910 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2025, May 23, 2023, Apr 10, 2019 (3 updates tracked since 2019).

About Michelle Sloan Graham Crnp NPPES

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

MICHELLE SLOAN GRAHAM CRNP (NPI 1255894994) is an individual family provider in Somerville, Alabama, licensed in Alabama (1-140208) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of South Alabama College Of Medicine (2018).

NPPES Registry Identity

NPI1255894994
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE SLOAN GRAHAMCredential: CRNP
Location Address4166 HIGHWAY 36 ESomerville, AL 35670-5803
Mailing Address2941 Point Mallard Pkwy Se Ste NDecatur, AL 35603-5760 · (256) 432-2822 · Fax (256) 432-2825
Phone(256) 778-7172
Fax(256) 778-8910
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2018
Enumeration DateApril 10, 2019
Last NPPES UpdateJune 30, 20263 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1255894994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-140208
4166 HIGHWAY 36 E, Somerville, AL 35670
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1434 E Pike RdFalkville, AL 35622-5109 · Phone (256) 784-2200
Location 22941 Point Mallard Pkwy SE Ste NDecatur, AL 35603-5760 · Phone (256) 432-2822 · Fax (256) 432-2825
Location 320104 Swanner BlvdTanner, AL 35671-3651 · Phone (256) 686-3334

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

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

Michelle Sloan Graham Crnp 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 ID5395088041
PECOS Enrollment IDI20190520002873
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michelle Graham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical East Of Decatur Inc
Same address
Family
4166 HIGHWAY 36 E
Somerville, AL 35670
  • Reassigned Medicare billing, Alabama enrollment
  • Also billed through NPI 1659518553 (Alabama)
  • 5 clinicians in this Medicare group
NPI 1700238508 (256) 778-7172
Falkville Medical Clinic, LLC
11 mi
Rural Health
434 E PIKE RD
Falkville, AL 35622
  • Reassigned Medicare billing, Alabama enrollment
  • 4 clinicians in this Medicare group
NPI 1518301837 (256) 784-2200
Tanner Medical Clinic LLC
23 mi
Rural Health
20104 SWANNER BLVD, SUITE 4
Tanner, AL 35671
  • Reassigned Medicare billing, Alabama enrollment
  • 5 clinicians in this Medicare group
NPI 1376881870 (256) 686-3334

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 3

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.

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
16 services15 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
13 services12 patients
Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets 87631
This test identifies different respiratory viruses by examining their nucleic acid, the building blocks of their genetic material. It can detect multiple types or subtypes, specifically 3-5 targets. This helps in diagnosing your respiratory illness accurately.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35670 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL EAST OF DECATUR INC
Nurse Practitioner (Family)
4166 HIGHWAY 36 E
SOMERVILLE, AL 35670
Morgan County (256) 778-7172

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 Michelle Graham's NPI number?

The NPI number for Michelle Graham is 1255894994. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Michelle Graham located?

Michelle Graham practices at 4166 Highway 36 E, Somerville, AL 35670. The listed phone number is (256) 778-7172.

What is Michelle Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Graham enrolled in Medicare?

Yes. Michelle 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 organizations bill Medicare for Michelle Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Graham reassigns Medicare benefits to 3 organizations: Medical East Of Decatur Inc (Somerville, AL), Falkville Medical Clinic, LLC (Falkville, AL) and Tanner Medical Clinic LLC (Tanner, AL). 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 Michelle Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Graham accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Michelle Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Graham was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.