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HEATHER GRAEFF CRNP
NPI 1780163105
Nurse Practitioner in Pittsburgh, PA

Active since August 07, 2018PECOS Enrolled
86.13/100
CMS Quality Rating
3601 5TH AVE, PITTSBURGH, PA 15213(412) 586-9700(412) 586-9700 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2025, Jun 25, 2025, Aug 7, 2018 (3 updates tracked since 2018).

About Heather Graeff Crnp NPPES

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

HEATHER GRAEFF CRNP (NPI 1780163105) is an individual nurse practitioner in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP018917) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780163105
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER GRAEFFCredential: CRNP
Location Address3601 5TH AVEPittsburgh, PA 15213-3403
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799 · Fax (484) 334-7026
Phone(412) 586-9700
Fax(412) 586-9700
Sole ProprietorNo
Enumeration DateAugust 7, 2018
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1780163105 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 PA · SP018917
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.
3601 5TH AVE, Pittsburgh, PA 15213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Graeff Crnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Heather Graeff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
0.1 mi
Internal Medicine
3500 5TH AVE, 4TH FLOOR
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1548433527 (412) 682-2434
Tower Health Medical Group
209 mi
Sports Medicine
1350 BROADCASTING RD STE 201
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1891036166 (610) 685-9600
Reading Hospital
210 mi
Family Medicine
1220 BROADCASTING RD STE 100
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
NPI 1285355420 (484) 628-5673

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
156 services65 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.
105 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
103 services46 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
87 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
82 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

86.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.91
Promoting Interoperability99
Improvement Activities40
Cost62.83

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers11 claims310 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers72 claims281 services$6.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers19 claims38 services$0.86 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
3 suppliers11 claims2,280 services$6.66 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers243 claims243 services$187.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHRISTINE PEOPLES
Internal Medicine (Rheumatology)
3601 5TH AVE, SUITE 3B FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 647-6700
RIMA ABDEL MASSIH
Internal Medicine
3601 5TH AVE, SUITE 3A
PITTSBURGH, PA 15213
Allegheny County (412) 648-6273
NOEL PREVOST
Physician Assistant
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 648-3263
MELODY IVES CRNP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 383-8700
PETER VELDKAMP
Specialist
3601 5TH AVE, 610 FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 647-5399
DR. BRIAN A. POTOSKI PHARM.D.
Pharmacist (Pharmacotherapy)
3601 5TH AVE, FALK MEDICAL BLDG., SUITE 3A
PITTSBURGH, PA 15213
Allegheny County (412) 648-6401
MS. LAURA ELIZABETH HARNISH RDN
Dietitian, Registered
3601 5TH AVE, STE 1-B, ROOM 145-B
PITTSBURGH, PA 15213
Allegheny County (412) 692-4497
LAURA FERRIS
Specialist
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 648-3263

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 Heather Graeff's NPI number?

The NPI number for Heather Graeff is 1780163105. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Heather Graeff located?

Heather Graeff practices at 3601 5th Ave, Pittsburgh, PA 15213. The listed phone number is (412) 586-9700.

What is Heather Graeff's specialty?

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

Is Heather Graeff enrolled in Medicare?

Yes. Heather Graeff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Graeff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Graeff reassigns Medicare benefits to 3 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Tower Health Medical Group (Wyomissing, PA) and Reading Hospital (Wyomissing, PA). Each 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 Heather Graeff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Graeff accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Heather Graeff 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 Heather Graeff was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.