MR. OLIVER LOUIS DE GRAVELLE III APRN
NPI 1598964629
Nurse Practitioner - Neonatal in Raleigh, NC

Q: What is Oliver De Gravelle's NPI number?

The NPI number for Oliver De Gravelle is 1598964629. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Q: What is Oliver De Gravelle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Active since July 18, 2007PECOS Enrolled

3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-8000 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2021, Sep 26, 2016 (2 updates tracked since 2016).

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About Mr. Oliver Louis De Gravelle Iii Aprn NPPES

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

MR. OLIVER LOUIS DE GRAVELLE III APRN (NPI 1598964629) is an individual neonatal provider in Raleigh, North Carolina, licensed in North Carolina (5015451) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598964629

Entity TypeIndividualMale

Primary Taxonomy363LN0000X

Provider Legal NameMR. OLIVER LOUIS DE GRAVELLE IIICredential: APRN

Location Address3000 NEW BERN AVERaleigh, NC 27610-1231

Mailing Address3000 New Bern AveRaleigh, NC 27610-1231 · (919) 350-8000

Phone(919) 350-8000

Sole ProprietorNo

Enumeration DateJuly 18, 2007

Last NPPES UpdateJune 2, 20222 updates tracked since enumeration

NPPES CertifiedJune 2, 2022

✔ NPI 1598964629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

Licenses✔ Licensed in NC · 5015451✔ Licensed in LA · AP02915

Also ListedNurse PractitionerTaxonomy 363L00000X · License 02915 (LA)

3000 NEW BERN AVE, Raleigh, NC 27610

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Oliver Louis De Gravelle Iii Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Oliver De Gravelle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wakemed Specialists Group, LLC

Same address

Cardiovascular Disease

3000 NEW BERN AVE
Raleigh, NC 27610

Reassigned Medicare billing, North Carolina enrollment
997 clinicians in this Medicare group

NPI 1063077436 (919) 350-7600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

JILL M PAPPALARDI M.D.

Hospitalist