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LEVI GRAVES
NPI 1720863871
Nurse Practitioner - Psychiatric/Mental Health in Pocatello, ID

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
415 N 3RD AVE STE B, POCATELLO, ID 83201(208) 646-4165 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Levi Graves NPPES

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

LEVI GRAVES (NPI 1720863871) is an individual psychiatric/mental health provider in Pocatello, Idaho, licensed in Idaho (77238) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720863871
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLEVI GRAVES
Location Address415 N 3RD AVE STE BPocatello, ID 83201-6306
Mailing Address226 W Carter StPocatello, ID 83204-3454 · (208) 252-5451
Phone(208) 646-4165
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 28, 2023
✔ NPI 1720863871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 77238
415 N 3RD AVE STE B, Pocatello, ID 83201
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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

Levi Graves 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 ID4183066152
PECOS Enrollment IDI20240522000827
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 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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
27 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 3

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

ANGELA ALLEN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
415 N 3RD AVE STE B
POCATELLO, ID 83201
Bannock County (208) 646-4165
NOBILITY BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
415 N 3RD AVE STE B
POCATELLO, ID 83201
Bannock County (208) 646-4165
RONDA EDGLEY NP
Nurse Practitioner
415 N 3RD AVE STE B
POCATELLO, ID 83201
Bannock County (208) 646-4165

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 Levi Graves's NPI number?

The NPI number for Levi Graves is 1720863871. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Levi Graves located?

Levi Graves practices at 415 N 3rd Ave Ste B, Pocatello, ID 83201. The listed phone number is (208) 646-4165.

What is Levi Graves's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Levi Graves enrolled in Medicare?

Yes. Levi Graves 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.

When was this NPI record last updated?

The NPPES record for Levi Graves was last updated on August 28, 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.