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ANTHONY GRAVES
NPI 1417341330
Nurse Practitioner - Family in Paso Robles, CA

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment
2120 GOLDEN HILL RD STE 102, PASO ROBLES, CA 93446(805) 434-2900(805) 434-2928 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anthony Graves NPPES

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

ANTHONY GRAVES (NPI 1417341330) is an individual family provider in Paso Robles, California, licensed in California (95002609) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417341330
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANTHONY GRAVES
Location Address2120 GOLDEN HILL RD STE 102Paso Robles, CA 93446-7048
Mailing AddressPo Box 3341Paso Robles, CA 93447-3341
Phone(805) 434-2900
Fax(805) 434-2928
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 28, 2015
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1417341330 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 CA · 95002609
2120 GOLDEN HILL RD STE 102, Paso Robles, CA 93446
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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

Anthony Graves 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 ID6507155058
PECOS Enrollment IDI20160523001754
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

2

Medicare enrollment records show Anthony Graves reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Las Tablas Medical Group,inc
Same address
Family Medicine
2120 GOLDEN HILL RD, SUITE 102
Paso Robles, CA 93446
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1205994977 (805) 434-2900
Department Of State Hospitals
12 mi
Psychiatric Hospital
10333 EL CAMINO REAL
Atascadero, CA 93422
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1174573802 (805) 468-2000

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 93446 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JILL ANN TRACY NP-C
Nurse Practitioner (Family)
2120 GOLDEN HILL RD STE 102
PASO ROBLES, CA 93446
San Luis Obispo County (805) 434-2900

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 Anthony Graves's NPI number?

The NPI number for Anthony Graves is 1417341330. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Anthony Graves located?

Anthony Graves practices at 2120 Golden Hill Rd Ste 102, Paso Robles, CA 93446. The listed phone number is (805) 434-2900.

What is Anthony Graves's specialty?

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

Is Anthony Graves enrolled in Medicare?

Yes. Anthony Graves 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 Anthony Graves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Graves reassigns Medicare benefits to 2 organizations: Las Tablas Medical Group,inc (Paso Robles, CA) and Department Of State Hospitals (Atascadero, CA). 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 Anthony Graves'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 Anthony Graves was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.