MRS. ANGELA D GRAHAM CPNP-AC
NPI 1902105760
Nurse Practitioner in Canton, IL

Q: What is Angela Graham's NPI number?

The NPI number for Angela Graham is 1902105760. It was assigned to this individual provider in the NPPES registry on March 19, 2011. The provider is also known as Mrs. Angela D Joachim Cpnp-Ac.

Q: What is Angela Graham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Graham was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 19, 2011PECOS Enrolled

210 W WALNUT ST, CANTON, IL 61520(309) 647-5240(309) 649-5128 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mrs. Angela D Graham Cpnp-ac NPPES

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

MRS. ANGELA D GRAHAM CPNP-AC (NPI 1902105760) is an individual nurse practitioner in Canton, Illinois, licensed in Illinois (209008727) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902105760

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. ANGELA D GRAHAMCredential: CPNP-AC

Location Address210 W WALNUT STCanton, IL 61520-2497

Mailing Address210 W Walnut StCanton, IL 61520-2497 · (309) 647-5240 · Fax (309) 649-5128

Phone(309) 647-5240

Fax(309) 649-5128

Sole ProprietorNo

Enumeration DateMarch 19, 2011

Last NPPES UpdateMarch 12, 2021

NPPES CertifiedMarch 12, 2021

✔ NPI 1902105760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209008727

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.

Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 209008727 (IL)

210 W WALNUT ST, Canton, IL 61520

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Other Names 1

Former Name (1)Mrs. Angela D Joachim Cpnp-ac

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Angela D Graham Cpnp-ac 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 Reassignment

Medicare enrollment records show Angela Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Graham Hospital Association

Same address

Critical Access

210 W WALNUT ST
Canton, IL 61520

Reassigned Medicare billing, Illinois enrollment
134 clinicians in this Medicare group

NPI 1780692087 (309) 647-5240

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

DELLA EETEN CRNA

Nurse Anesthetist, Certified Registered