MS. MARY LOU GRAHAM NP
NPI 1811995103
Nurse Practitioner - Psychiatric/Mental Health in New Britain, CT

Q: What is Mary Graham's NPI number?

The NPI number for Mary Graham is 1811995103. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Mary Graham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Graham was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment

45 RUSSELL ST, NEW BRITAIN, CT 06052(860) 612-0432(860) 612-0087 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Oct 25, 2023 (2 updates tracked since 2023).

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About Ms. Mary Lou Graham Np NPPES

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

MS. MARY LOU GRAHAM NP (NPI 1811995103) is an individual psychiatric/mental health provider in New Britain, Connecticut, licensed in Connecticut (003146) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1811995103

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. MARY LOU GRAHAMCredential: NP

Location Address45 RUSSELL STNew Britain, CT 06052-1312

Mailing Address45 Russell StNew Britain, CT 06052-1312 · (860) 612-0432 · Fax (860) 612-0087

Phone(860) 612-0432

Fax(860) 612-0087

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 11, 2005

Last NPPES UpdateJune 5, 20262 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1811995103 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 CT · 003146

45 RUSSELL ST, New Britain, CT 06052

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Other Identifiers 3

Other2070747CT · Cigna

Other112425000CT · Caqh

Other500002055Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Ms. Mary Lou Graham Np 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 ID9830114867

PECOS Enrollment IDI20051010000443

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.

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.

120 services21 patients

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.

30 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

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Other Providers at the Same Location NPPES 7

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

JESSICA ANNETTE ANTUNES MA

Counselor (Professional)