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DR. HEATHER GRAHAM DNP, APRN, AANP
NPI 1326714189
Nurse Practitioner - Family in Dover, DE

Active since August 20, 2021PECOS EnrolledAccepts Medicare Assignment
80.18/100
CMS Quality Rating
1673 S STATE ST STE B, DOVER, DE 19901(855) 527-7246 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2022, Aug 20, 2021 (2 updates tracked since 2021).

About Dr. Heather Graham Dnp, Aprn, Aanp NPPES

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

DR. HEATHER GRAHAM DNP, APRN, AANP (NPI 1326714189) is an individual family provider in Dover, Delaware, licensed in Delaware (LG-0001393) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326714189
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. HEATHER GRAHAMCredential: DNP, APRN, AANP
Location Address1673 S STATE ST STE BDover, DE 19901-5148
Mailing Address1673 S State St # BDover, DE 19901-5148 · (302) 674-8444
Phone(855) 527-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 20, 2021
Last NPPES UpdateFebruary 18, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2022
✔ NPI 1326714189 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 DE · LG-0001393
1673 S STATE ST STE B, Dover, DE 19901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

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

Dr. Heather Graham Dnp, Aprn, Aanp 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 ID3971909433
PECOS Enrollment IDI20210908002605
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.

Capsaicin 8% patch, per square centimeter J7336
The Capsaicin 8% patch is a treatment for nerve pain. It contains a high concentration of capsaicin, the ingredient that makes chili peppers hot. The patch is applied to the skin where you feel pain. It works by reducing the pain signals sent to your brain.
55,440 services22 patients
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.
1,335 services255 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
430 services181 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
428 services187 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.
302 services113 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
232 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

80.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.51
Promoting Interoperability99
Improvement Activities40
Cost39.11

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier67 claims68 services$67.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Heather Graham's NPI number?

The NPI number for Heather Graham is 1326714189. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Heather Graham located?

Heather Graham practices at 1673 S State St Ste B, Dover, DE 19901. The listed phone number is (855) 527-7246.

What is Heather Graham's specialty?

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

Is Heather Graham enrolled in Medicare?

Yes. Heather 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.

What insurance does Heather Graham accept?

Health plans from AmeriHealth Caritas Next list Heather 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 Heather Graham was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.