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KELLY GRAHAM FNP
NPI 1720530629
Nurse Practitioner - Family in Chesapeake, VA

Active since October 26, 2016PECOS Enrolled
95.11/100
CMS Quality Rating
213 RIVER WALK PKWY, CHESAPEAKE, VA 23320(757) 983-1777 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2021, Mar 23, 2017, Feb 28, 2017 and 9 more (12 updates tracked since 2016).

About Kelly Graham Fnp NPPES

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

KELLY GRAHAM FNP (NPI 1720530629) is an individual family provider in Chesapeake, Virginia, licensed in Virginia (0024173581) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720530629
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY GRAHAMCredential: FNP
Location Address213 RIVER WALK PKWYChesapeake, VA 23320-6893
Mailing AddressPo Box 936Norfolk, VA 23501-0936 · (757) 689-5104 · Fax (757) 689-2717
Phone(757) 983-1777
Sole ProprietorNo
Enumeration DateOctober 26, 2016
Last NPPES UpdateJanuary 5, 202112 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1720530629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024173581
213 RIVER WALK PKWY, Chesapeake, VA 23320
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly Dawn Demarco

Other Identifiers 9

Other1720530629VA · Multiplan
Other1720530629VA · Optima Health
Medicaid1720530629VA
Other1720530629VA · Usa Managed Care
Other1720530629VA · Humana
Other1720530629VA · Virginia Premier Health Plan
Other1720530629VA · Tricare/champus
Medicaid1720530629NC
Other1720530629VA · Corvel

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Graham Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SENTARA MEDICAL GROUP
Surgery
213 RIVER WALK PKWY, STE 101A
CHESAPEAKE, VA 23320
Chesapeake City (757) 261-5175
DR. JENNIFER S MATHEW MD
Family Medicine
213 RIVER WALK PKWY, STE 101
CHESAPEAKE, VA 23320
Chesapeake City (757) 382-5245
SENTARA MEDICAL GROUP
Family Medicine
213 RIVER WALK PKWY, SUITE 101
CHESAPEAKE, VA 23320
Chesapeake City (757) 983-1765

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 Kelly Graham's NPI number?

The NPI number for Kelly Graham is 1720530629. It was assigned to this individual provider in the NPPES registry on October 26, 2016. The provider is also known as Kelly Dawn Demarco.

Where is Kelly Graham located?

Kelly Graham practices at 213 River Walk Pkwy, Chesapeake, VA 23320. The listed phone number is (757) 983-1777.

What is Kelly Graham's specialty?

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

Is Kelly Graham enrolled in Medicare?

Yes. Kelly Graham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Graham was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.