MRS. JESSICA NICOLE GRAHAM (NP) – Family Nurse Practitioner, NPI 1346733615
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. JESSICA NICOLE GRAHAM (NP)
2100 HARRISON AVE
PANAMA CITY, FL 324054546
Phone: (850) 851-8555
Fax: (850) 999-7109
Type: Mailing
514, Mary Esther Cut Off, Fort Walton Beach, Okaloosa County, Florida, 32548, United States
FORT WALTON BEACH, FL 325484047
Phone: (850) 378-8773
Type: Mailing
Harrison Avenue, Panama City, Bay County, Florida, 32405, United States
PANAMA CITY, FL 32405
Phone: (850) 381-4978
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $2,850.
Total Amount is formed as General ($2,850) + Research ($0) + Ownership ($0) = $2,850.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($479).
Total Amount
$2,850
General + Research + Ownership
Payments
130
Total payment records
General Amount
$2,850
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-05-30
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 |
|---|---|---|---|---|
| I20190530000102 | I | Nurse Practitioner | FL | 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 | 746 | 350 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 51 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 50 | 40 | $0 |
Insurance plans in this area (ZIP 32405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | IL | |
| N E P H R O L O G Y | OH | |
| N E P H R O L O G Y | TX | |
| Nephrology, Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | SD | |
| N E P H R O L O G Y | FL |
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