SAMANTHA JILL GRAHAM NP
NPI 1629580154
Nurse Practitioner - Gerontology in Boston, MA
About Samantha Jill Graham Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JILL GRAHAM NP (NPI 1629580154) is an individual gerontology provider in Boston, Massachusetts, licensed in Massachusetts (RN2320171) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Jill Graham 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 573 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Boston Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
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 Samantha Graham's NPI number?
The NPI number for Samantha Graham is 1629580154. It was assigned to this individual provider in the NPPES registry on October 24, 2017.
Where is Samantha Graham located?
Samantha Graham practices at 830 Harrison Avenue, 3rd Fl Moakley Bldg, Boston, MA 02118. The listed phone number is (617) 638-6428.
What is Samantha Graham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Samantha Graham enrolled in Medicare?
Yes. Samantha 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.
Which organization bills Medicare for Samantha Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Graham reassigns Medicare benefits to Evans Medical Foundation, Inc. (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Graham accept?
Health plans from Anthem Blue Cross and Blue Shield, Taro Health and WellSense Health Plan list Samantha 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 Samantha Graham affiliated with any hospitals?
According to CMS data, Samantha Graham is affiliated with Boston Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Graham was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Samantha Jill Graham, NP · NPI 1629580154
Gerontology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 24, 2017.
## Identity
- **NPI:** 1629580154 (Entity type: Individual)
- **Enumerated:** October 24, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** RN2320171 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 830 HARRISON AVENUE, 3RD FL, MOAKLEY BLDG, Boston, MA 02118-2905
- **Phone:** (617) 638-6428 · **Fax:** (617) 638-5756
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Evans Medical Foundation, Inc. (NPI 1912954124, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 18, 2026
- **Other identifiers:** Medicaid 110201892A (MA); Medicaid 3154022 (NH)
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Source: [NPI Profile](https://npiprofile.com/npi/1629580154) · Data from the CMS NPPES public registry.