ELIZABETH JEAN GRAHAM (APRN-C) – Primary Care Nurse Practitioner, NPI 1992085310

ELIZABETH JEAN GRAHAM (APRN-C) is a healthcare provider. based in Pittsburg, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-C. They hold a License No. 202006374NP-PP (OR). The NPI Number for ELIZABETH JEAN GRAHAM (APRN-C) is 1992085310

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH JEAN GRAHAM (APRN-C)
NPI
1992085310
Phone
(620) 231-1960
Address
PO BOX 1832
Enumeration Date
17 August 2011
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417474300
Graduation Year
2011 (15 years ago)
PAC ID
6406004324
Group Practice PAC ID
0042100372
Professional Enrollment ID
I20210405001605
Address ID
OR974772594SP2280XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for ELIZABETH JEAN GRAHAM (APRN-C)

  • PO BOX 1832

    PITTSBURG, KS 667621832

    Phone: (620) 231-1960

    Fax: (620) 231-2808

    Type: Mailing

  • 3011 N MICHIGAN ST

    PITTSBURG, KS 667622546

    Phone: (620) 231-1960

    Fax: (620) 231-2808

    Type: Location

  • 689 E 19TH AVE

    EUGENE, OR 974014304

    Phone: (541) 868-1876

    Fax: (541) 868-0932

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2023-06-08 • Largest payer in this snapshot: SCPHARMACEUTICALS INC. ($52).

Total Amount

$52

General + Research + Ownership

Payments

2

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SCPHARMACEUTICALS INC.$52
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: 2021-04-05

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
I20210405001605INurse 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 minutes13087$0
99213Established patient office or other outpatient visit, 20-29 minutes6760$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional4113$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3737$0
96160Administration and interpretation of patient-focused health risk assessment2928$0
View full utilization report →

Insurance plans in this area (ZIP 66762)

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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: 0042100372View full group profile
NameSpecialtyState
Physician AssistantOR
-OR
Clinical PsychologistOR
Preventive MedicineOR
Family PracticeFL
Family PracticeOR
Family PracticeOR
Nurse PractitionerOR
Family PracticeTX
-OR

Reviews

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Frequently asked questions

Can I verify ELIZABETH JEAN GRAHAM (APRN-C) with an NPI only?
You can start verification with NPI 1992085310 for ELIZABETH JEAN GRAHAM (APRN-C), then check state licensing separately.
Can I rely on ELIZABETH JEAN GRAHAM (APRN-C) being an active provider?
As of the registry snapshot, ELIZABETH JEAN GRAHAM (APRN-C) is marked active.
What is ELIZABETH JEAN GRAHAM (APRN-C)'s primary classification?
Primary Care Nurse Practitioner is the headline specialty for ELIZABETH JEAN GRAHAM (APRN-C) here. Clinical services aligned with this taxonomy classification.
What area does ELIZABETH JEAN GRAHAM (APRN-C) serve?
ELIZABETH JEAN GRAHAM (APRN-C)'s listing highlights Pittsburg, Kansas; more addresses can appear in NPPES.
Why does ELIZABETH JEAN GRAHAM (APRN-C) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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