NICOLE GRAHAM (PA) – Physician Assistant, NPI 1538130638
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for NICOLE GRAHAM (PA)
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone:
Type: Mailing
2025 SOQUEL AVE
SANTA CRUZ, CA 950621323
Phone: (831) 458-5820
Type: Location
115 LOCUST SREET
SANTA CRUZ, CA 95060
Phone: (831) 458-5670
Type: Location
West El Camino Real, Mountain View, Santa Clara County, California, 94043, United States
2ND FLOOR
MOUNTAIN VIEW, CA 940406201
Phone: (707) 303-6424
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2023-07-20 • Largest payer in this snapshot: Novo Nordisk Inc ($121).
Total Amount
$121
General + Research + Ownership
Payments
1
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $121 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080812000748 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 508 | 422 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 220 | 214 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 86 | 83 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 94022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| - | CA | |
| Hospitalist, Obstetrics/Gynecology | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA |
Reviews
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