REBECCA GRAHAM CRNP
NPI 1447747811
Nurse Practitioner - Pediatrics in Philadelphia, PA

Active since April 20, 2018PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-1000 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2019, Apr 20, 2018 (2 updates tracked since 2018).

About Rebecca Graham Crnp NPPES

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

REBECCA GRAHAM CRNP (NPI 1447747811) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP018727) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newtown.

NPPES Registry Identity

NPI1447747811
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameREBECCA GRAHAMCredential: CRNP
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address1569 Silver Lake RdLanghorne, PA 19047-8001 · (215) 260-0751
Sole ProprietorNo
Enumeration DateApril 20, 2018
Last NPPES UpdateNovember 14, 20192 updates tracked since enumeration
NPI 1447747811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in PA · SP018727 Licensed in PA · SP018824
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

Secondary Practice Location 1

Location 1104 Pheasant RunNewtown, PA 18940-3439 · Phone (215) 968-6944

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rebecca Graham Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

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 Rebecca Graham's NPI number?

The NPI number for Rebecca Graham is 1447747811. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Rebecca Graham located?

Rebecca Graham practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.

What is Rebecca Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Rebecca Graham enrolled in Medicare?

Yes. Rebecca Graham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Graham was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.