GRAHAM A PHELPS (FNP-BC) – Family Nurse Practitioner, NPI 1114358033

GRAHAM A PHELPS (FNP-BC) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 209-011006 (IL). The NPI Number for GRAHAM A PHELPS (FNP-BC) is 1114358033

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
GRAHAM A PHELPS (FNP-BC)
NPI
1114358033
Phone
(773) 768-5000
Address
3223 W 63RD ST
Enumeration Date
2 December 2013
Last Update Date
15 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
9715014930
Graduation Year
2013 (13 years ago)
PAC ID
1850520503
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20160426002128
Address ID
OR971231963HI7305XDRXX401

Contacts

Secure Messaging
gphelps606831@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for GRAHAM A PHELPS (FNP-BC)

  • 3223 W 63RD ST

    CHICAGO, IL 606293333

    Phone: (773) 768-5000

    Type: Mailing

  • 3223 W 63rd St

    Chicago, IL 606293333

    Phone: (773) 768-5000

    Type: Location

  • 16180 SE SUNNYSIDE RD STE 102

    HAPPY VALLEY, OR 970156302

    Phone: (503) 582-4900

    Type: Location

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-04-26

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
I20160426002128INurse PractitionerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes127125$0
81003Automated urinalysis test3434$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
99213Established patient office or other outpatient visit, 20-29 minutes2828$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 60629)

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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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

Does GRAHAM A PHELPS (FNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GRAHAM A PHELPS (FNP-BC) uses 1114358033.
Does CMS list GRAHAM A PHELPS (FNP-BC) as active?
Yes — GRAHAM A PHELPS (FNP-BC) is active in the NPI listing used on this page.
What is GRAHAM A PHELPS (FNP-BC) best known for clinically?
Directory data describes GRAHAM A PHELPS (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does GRAHAM A PHELPS (FNP-BC) serve?
GRAHAM A PHELPS (FNP-BC)'s listing highlights Chicago, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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