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HEATHER GRAHAM APRN-CNS
NPI 1528707874
Clinical Nurse Specialist in Oklahoma City, OK

Active since June 02, 2022PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
1000 N LINCOLN BLVD, OKLAHOMA CITY, OK 73104(918) 519-5291 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 25, 2023, Aug 4, 2022 (2 updates tracked since 2022).

About Heather Graham Aprn-cns NPPES

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

HEATHER GRAHAM APRN-CNS (NPI 1528707874) is an individual clinical nurse specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (208905) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528707874
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameHEATHER GRAHAMCredential: APRN-CNS
Location Address1000 N LINCOLN BLVDOklahoma City, OK 73104-3252
Mailing Address1000 N Lincoln Blvd Ste 4000Oklahoma City, OK 73104-3252
Phone(918) 519-5291
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 2, 2022
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1528707874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in OK · 208905
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
1000 N LINCOLN BLVD, Oklahoma City, OK 73104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Heather Graham Aprn-cns 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 ID2264801877
PECOS Enrollment IDI20221202001863
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
107 services83 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
49 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

DR. CHRISTOPHER SALVATORE GRAFFEO MD
Neurological Surgery
1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (602) 406-3489
DR. PHILIP BARTON MINER, JR. M.D.
Internal Medicine (Gastroenterology)
1000 N LINCOLN BLVD, SUITE 210
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4644
MICHAEL D MARTIN MD
Neurological Surgery
1000 N LINCOLN BLVD, STE 400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4912
MRS. GERRIE L CLIMER PA-C
Physician Assistant (Surgical)
1000 N LINCOLN BLVD, SUITE 400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
MARK STEPHENS JR. MD
Neurological Surgery
1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7000
CENTER FOR REPRODUCTIVE HEALTH
Specialist
1000 N LINCOLN BLVD, SUITE 300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-9200
MEREDITH ISABELLE LAROSE
Internal Medicine (Medical Oncology)
1000 N LINCOLN BLVD
OKLAHOMA CITY, OK 73104
Oklahoma County (908) 370-8869
MRS. JAMI VALENZUELA APRN, CPNP
Nurse Practitioner (Pediatrics)
1000 N LINCOLN BLVD, STE 400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4912

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 Heather Graham's NPI number?

The NPI number for Heather Graham is 1528707874. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Heather Graham located?

Heather Graham practices at 1000 N Lincoln Blvd, Oklahoma City, OK 73104. The listed phone number is (918) 519-5291.

What is Heather Graham's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Heather Graham enrolled in Medicare?

Yes. Heather Graham 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 Heather Graham accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Heather Graham 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.

Is Heather Graham affiliated with any hospitals?

According to CMS data, Heather Graham is affiliated with Norman Regional, Mercy Hospital Oklahoma City, Inc, Mercy Hospital Ardmore, Inc, Stillwater Medical Center and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Graham was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.