LEAH GRAVESEN – Family Nurse Practitioner, NPI 1477191336

LEAH GRAVESEN is a healthcare provider. based in Streator, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209020593 (IL). The NPI Number for LEAH GRAVESEN is 1477191336

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
LEAH GRAVESEN
NPI
1477191336
Phone
(815) 257-5324
Address
311 S OTTER CREEK RD
Enumeration Date
11 December 2019
Last Update Date
24 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304950220
Graduation Year
2019 (7 years ago)
PAC ID
9032529870
Group Practice PAC ID
8729453436
Professional Enrollment ID
I20201105000777
Address ID
IL605231312OA2013XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for LEAH GRAVESEN

  • 311 S OTTER CREEK RD

    STREATOR, IL 613643117

    Phone: (815) 257-5324

    Type: Location

  • 106 Karen Dr

    Dwight, IL 604201600

    Phone: (815) 257-5324

    Type: Location

  • 106 KAREN DR

    DWIGHT, IL 604201600

    Phone: (815) 257-5324

    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: 2020-11-05

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
I20201105000777INurse PractitionerILTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes928126$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes149147$0
G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)139139$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month4527$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month3831$0
View full utilization report →

Insurance plans in this area (ZIP 61364)

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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: 8729453436View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerTX
Nurse PractitionerIL
Nurse PractitionerMN
Nurse PractitionerTX
Nurse PractitionerGA
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is LEAH GRAVESEN's NPI number?
LEAH GRAVESEN's NPI is 1477191336 — the number used across U.S. healthcare to identify this provider.
Is LEAH GRAVESEN shown as active in public data?
Registry records indicate LEAH GRAVESEN maintains an active NPI.
What clinical focus is listed for LEAH GRAVESEN?
At a glance, LEAH GRAVESEN is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Illinois is LEAH GRAVESEN registered?
Use Streator, Illinois as the headline location for LEAH GRAVESEN here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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