COISHA GABRIELLE GRAHAM
NPI 1740965250
Nurse Practitioner in Portland, OR

Active since June 21, 2023PECOS Enrolled
10230 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216(503) 535-1151 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coisha Gabrielle Graham NPPES

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

COISHA GABRIELLE GRAHAM (NPI 1740965250) is an individual nurse practitioner in Portland, Oregon, licensed in Oregon (10008056) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740965250
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOISHA GABRIELLE GRAHAM
Location Address10230 SE CHERRY BLOSSOM DRPortland, OR 97216-2821
Mailing AddressPo Box 11568Portland, OR 97211-0568
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 21, 2023
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1740965250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OR · 10008056
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10230 SE CHERRY BLOSSOM DR, Portland, OR 97216

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Coisha Gabrielle Graham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416450499
PECOS Enrollment IDI20250915001276
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 97216 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Substance Abuse Rehabilitation Facility
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Counselor (Professional)
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Registered Nurse
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Clinic/Center (Mental Health (Including Community Mental Health Center))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Peer Specialist
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Licensed Practical Nurse
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216

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 Coisha Graham's NPI number?

The NPI number for Coisha Graham is 1740965250. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Coisha Graham located?

Coisha Graham practices at 10230 SE Cherry Blossom Dr, Portland, OR 97216. The listed phone number is (503) 535-1151.

What is Coisha Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Coisha Graham enrolled in Medicare?

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

What insurance does Coisha Graham accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente and Regence BlueCross BlueShield of Oregon list Coisha 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.

When was this NPI record last updated?

The NPPES record for Coisha Graham was last updated on March 13, 2024. 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.