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LISA MAE DIANE GRAVELINE PMHNP-BC, APRN-RNP
NPI 1801559984
Nurse Practitioner - Psychiatric/Mental Health in Prescott Valley, AZ

Active since October 15, 2021PECOS EnrolledAccepts Medicare Assignment
3274 BOB DR, PRESCOTT VALLEY, AZ 86314(928) 203-5414(866) 984-3891 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2023, Oct 15, 2021 (2 updates tracked since 2021).

About Lisa Mae Diane Graveline Pmhnp-bc, Aprn-rnp NPPES

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

LISA MAE DIANE GRAVELINE PMHNP-BC, APRN-RNP (NPI 1801559984) is an individual psychiatric/mental health provider in Prescott Valley, Arizona, licensed in Arizona (RNP265685) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1801559984
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA MAE DIANE GRAVELINECredential: PMHNP-BC, APRN-RNP
Location Address3274 BOB DRPrescott Valley, AZ 86314-8640
Mailing Address3274 Bob DrPrescott Valley, AZ 86314-8640 · (928) 203-5414 · Fax (866) 984-3891
Phone(928) 203-5414
Fax(866) 984-3891
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 15, 2021
Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1801559984 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 AZ · RNP265685
3274 BOB DR, Prescott Valley, AZ 86314
Open in Google Maps ↗

Other Identifiers 1

OtherRNP-265685AZ · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

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

Lisa Mae Diane Graveline Pmhnp-bc, Aprn-rnp 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 ID4082060058
PECOS Enrollment IDI20231026003607
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services24 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
19 services19 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86314 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

SPECTRUM HEALTHCARE GROUP, INC.
Psychiatry & Neurology (Psychiatry)
3274 BOB DR
PRESCOTT VALLEY, AZ 86314
Yavapai County (877) 634-7333

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 Lisa Mae Graveline's NPI number?

The NPI number for Lisa Mae Graveline is 1801559984. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Lisa Mae Graveline located?

Lisa Mae Graveline practices at 3274 Bob Dr, Prescott Valley, AZ 86314. The listed phone number is (928) 203-5414.

What is Lisa Mae Graveline's specialty?

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

Is Lisa Mae Graveline enrolled in Medicare?

Yes. Lisa Mae Graveline 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.

What insurance does Lisa Mae Graveline accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Lisa Mae Graveline 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 Lisa Mae Graveline 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.