BETHANY GRAHAM
NPI 1699566612
Student in an Organized Health Care Education/Training Program in Elyria, OH

Active since May 16, 2025PECOS EnrolledAccepts Medicare Assignment
416 GEORGIA AVE, ELYRIA, OH 44035(440) 396-4337 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany Graham NPPES

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

BETHANY GRAHAM (NPI 1699566612) is an individual student in an organized health care education/training program in Elyria, Ohio and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699566612
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBETHANY GRAHAM
Location Address416 GEORGIA AVEElyria, OH 44035-7134
Mailing Address416 Georgia AveElyria, OH 44035-7134
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 16, 2025
NPPES CertifiedMay 16, 2025
NPI 1699566612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
416 GEORGIA AVE, Elyria, OH 44035

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

Bethany Graham 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 ID6406342039
PECOS Enrollment IDI20260102000816
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.

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

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 Bethany Graham's NPI number?

The NPI number for Bethany Graham is 1699566612. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Where is Bethany Graham located?

Bethany Graham practices at 416 Georgia Ave, Elyria, OH 44035. The listed phone number is (440) 396-4337.

What is Bethany Graham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bethany Graham enrolled in Medicare?

Yes. Bethany 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.

Is Bethany Graham affiliated with any hospitals?

According to CMS data, Bethany Graham is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Bethany Graham was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.