MR. GREGORY CHARLES GRAHEK (NP-BC) – Acute Care Nurse Practitioner, NPI 1558554188

MR. GREGORY CHARLES GRAHEK (NP-BC) is a healthcare provider. based in Pueblo, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-BC. They hold a License No. 5441 (CO). The NPI Number for MR. GREGORY CHARLES GRAHEK (NP-BC) is 1558554188

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. GREGORY CHARLES GRAHEK (NP-BC)
NPI
1558554188
Phone
(719) 671-4629
Address
1619 N GREENWOOD ST STE 208
Enumeration Date
27 August 2007
Last Update Date
7 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195614336
Graduation Year
2007 (19 years ago)
PAC ID
4981798873
Group Practice PAC ID
5294703831
Professional Enrollment ID
I20070924000065
Address ID
CO810032656PU1619XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

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Provider Addresses for MR. GREGORY CHARLES GRAHEK (NP-BC)

  • 1619 N GREENWOOD ST STE 208

    PUEBLO, CO 810032656

    Phone: (719) 671-4629

    Fax: (719) 561-8469

    Type: Mailing

  • 314, West 16th Street, Mineral Palace, Pueblo, Pueblo County, Colorado, 81003, United States

    PUEBLO, CO 810032728

    Phone: (719) 671-4629

    Fax: (719) 583-1292

    Type: Mailing

  • East Orman Avenue, Pueblo, Pueblo County, Colorado, 81003, United States

    PUEBLO, CO 810043559

    Phone: (719) 564-0450

    Fax: (719) 564-1659

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $992.

Total Amount is formed as General ($992) + Research ($0) + Ownership ($0) = $992.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($188).

Total Amount

$992

General + Research + Ownership

Payments

53

Total payment records

General Amount

$992

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-09-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070924000065INurse PractitionerCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294703831View full group profile
NameSpecialtyState
Family PracticeCO
-CO
Family PracticeCO

Reviews

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Frequently asked questions

Can I use this page to confirm MR. GREGORY CHARLES GRAHEK (NP-BC)'s NPI?
Yes. MR. GREGORY CHARLES GRAHEK (NP-BC) is listed with NPI 1558554188 in the public NPI dataset.
Can I rely on MR. GREGORY CHARLES GRAHEK (NP-BC) being an active provider?
As of the registry snapshot, MR. GREGORY CHARLES GRAHEK (NP-BC) is marked active.
What is MR. GREGORY CHARLES GRAHEK (NP-BC)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for MR. GREGORY CHARLES GRAHEK (NP-BC) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. GREGORY CHARLES GRAHEK (NP-BC) on a map?
Expect Pueblo, Colorado as a primary anchor for MR. GREGORY CHARLES GRAHEK (NP-BC) unless the record lists multiple sites.
Is the information about MR. GREGORY CHARLES GRAHEK (NP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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