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ERAYNA POLES GRANT CRNP
NPI 1457928988
Nurse Practitioner - Family in Bowie, MD

Active since June 03, 2021PECOS Enrolled
4917 WILLES VISION DR, BOWIE, MD 20720(240) 351-8974 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erayna Poles Grant Crnp NPPES

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

ERAYNA POLES GRANT CRNP (NPI 1457928988) is an individual family provider in Bowie, Maryland, licensed in Maryland (R202308) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457928988
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERAYNA POLES GRANTCredential: CRNP
Location Address4917 WILLES VISION DRBowie, MD 20720-4670
Mailing Address4917 Willes Vision DrBowie, MD 20720-4670 · (240) 351-8974
Phone(240) 351-8974
Sole ProprietorYes
Enumeration DateJune 3, 2021
NPPES CertifiedJune 3, 2021
✔ NPI 1457928988 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 MD · R202308
4917 WILLES VISION DR, Bowie, MD 20720
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erayna Poles Grant 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 20720 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Erayna Grant's NPI number?

The NPI number for Erayna Grant is 1457928988. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Where is Erayna Grant located?

Erayna Grant practices at 4917 Willes Vision Dr, Bowie, MD 20720. The listed phone number is (240) 351-8974.

What is Erayna Grant's specialty?

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

Is Erayna Grant enrolled in Medicare?

Yes. Erayna Grant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erayna Grant was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.