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FREDERIC MASADA GRAVES
NPI 1811777907
Counselor - Mental Health in Grand Island, NE

Active since October 05, 2023PECOS Enrolled
914 BAUMANN DR, GRAND ISLAND, NE 68803(308) 390-2664(308) 385-5271 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2026, Oct 5, 2023 (2 updates tracked since 2023).

About Frederic Masada Graves NPPES

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

FREDERIC MASADA GRAVES (NPI 1811777907) is an individual mental health provider in Grand Island, Nebraska, licensed in Nebraska (4516) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811777907
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameFREDERIC MASADA GRAVES
Location Address914 BAUMANN DRGrand Island, NE 68803-4401
Mailing Address914 Baumann DrGrand Island, NE 68803-4401 · (308) 390-2664
Phone(308) 390-2664
Fax(308) 385-5271
Sole ProprietorNo
Enumeration DateOctober 5, 2023
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1811777907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NE · 4516✔ Licensed in NE · 13632✔ Licensed in NE · 3167
914 BAUMANN DR, Grand Island, NE 68803
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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 (PECOS)

Frederic Masada Graves 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.

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.

MS. KARA N KLINGINSMITH LMHP
Counselor (Professional)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5252
LISA BLAIN PLMHP
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
JOSHUA AUGUSTIN
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
JENNIFER PATRICIA CAMMON-LARSON PLMHP
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
ANTHONY ALLEN VERONEE JR.
Counselor
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
STEPHANIE A. SAYLOR PLMHP
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250
MR. THOMAS EDWARD COOK LMHP, CMSW
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5252
BERNARD DAVID HASCALL MS
Counselor (Mental Health)
914 BAUMANN DR
GRAND ISLAND, NE 68803
Hall County (308) 385-5250

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 Frederic Graves's NPI number?

The NPI number for Frederic Graves is 1811777907. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Frederic Graves located?

Frederic Graves practices at 914 Baumann Dr, Grand Island, NE 68803. The listed phone number is (308) 390-2664.

What is Frederic Graves's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Frederic Graves enrolled in Medicare?

Yes. Frederic Graves is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frederic Graves was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.