MYRA JO GRANTHAM NP
NPI 1528459799
Nurse Practitioner - Family in Conway, AR

Active since February 10, 2015PECOS EnrolledAccepts Medicare Assignment
2302 COLLEGE AVE, CONWAY, AR 72034(501) 329-3831(501) 450-2283 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myra Jo Grantham Np NPPES

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

MYRA JO GRANTHAM NP (NPI 1528459799) is an individual family provider in Conway, Arkansas, licensed in Arkansas (A004270) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528459799
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMYRA JO GRANTHAMCredential: NP
Location Address2302 COLLEGE AVEConway, AR 72034-6297
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Fax(501) 450-2283
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 10, 2015
Last NPPES UpdateJune 10, 2019
NPI 1528459799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · A004270
Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X · License A004270 (AR)
2302 COLLEGE AVE, Conway, AR 72034

Accepted 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

Myra Jo Grantham Np 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 ID5193034924
PECOS Enrollment IDI20151019001465
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
45 services43 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72034 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Pharmacist
2302 COLLEGE AVE
CONWAY, AR 72034
Nurse Anesthetist, Certified Registered
2302 COLLEGE AVE
CONWAY, AR 72034
Student in an Organized Health Care Education/Training Program
2302 COLLEGE AVE
CONWAY, AR 72034
Emergency Medicine
2302 COLLEGE AVE
CONWAY, AR 72034
Nurse Anesthetist, Certified Registered
2302 COLLEGE AVE
CONWAY, AR 72034
Pharmacist
2302 COLLEGE AVE
CONWAY, AR 72034
Family Medicine
2302 COLLEGE AVE
CONWAY, AR 72034
Emergency Medicine
2302 COLLEGE AVE
CONWAY, AR 72034

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 Myra Grantham's NPI number?

The NPI number for Myra Grantham is 1528459799. It was assigned to this individual provider in the NPPES registry on February 10, 2015.

Where is Myra Grantham located?

Myra Grantham practices at 2302 College Ave, Conway, AR 72034. The listed phone number is (501) 329-3831.

What is Myra Grantham's specialty?

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

Is Myra Grantham enrolled in Medicare?

Yes. Myra Grantham 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 Myra Grantham accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Myra Grantham 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 Myra Grantham was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.