SUSAN GRAVES PA-C
NPI 1427617471
Physician Assistant in Newton, IA

Q: What is Susan Graves's NPI number?

The NPI number for Susan Graves is 1427617471. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Q: What is Susan Graves's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Graves was last updated on November 18, 2021. 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.

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment

1123 1ST AVE E STE 200, NEWTON, IA 50208(641) 792-4012(641) 791-0697 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2021, Jun 12, 2019 (2 updates tracked since 2019).

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About Susan Graves Pa-c NPPES

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

SUSAN GRAVES PA-C (NPI 1427617471) is an individual physician assistant in Newton, Iowa, licensed in Iowa (098267) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Mercyone Newton Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427617471

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSUSAN GRAVESCredential: PA-C

Location Address1123 1ST AVE E STE 200Newton, IA 50208-3981

Mailing Address1123 1st Ave E Ste 200Newton, IA 50208-3981 · (641) 792-4012

Phone(641) 792-4012

Fax(641) 791-0697

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 12, 2019

Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration

NPPES CertifiedNovember 18, 2021

✔ NPI 1427617471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IA · 098267

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1123 1ST AVE E STE 200, Newton, IA 50208

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Susan Graves Pa-c 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 ID2466870977

PECOS Enrollment IDI20200916000098

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 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.

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.

84 services29 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

62 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

55 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Newton Medical Center

Acute Care Hospitals · Newton, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number160032

Location204 N 4th Ave ENewton, IA 50208 · Jasper County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50208 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

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 14

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

JADE ELIZABETH EARLEYWINE CADC

Counselor (Addiction (Substance Use Disorder))