GARY LEE GRAHAM (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992129704
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for GARY LEE GRAHAM (NP)
34290 FORD RD
WESTLAND, MI 481853051
Phone: (734) 324-8326
Type: Mailing
5039 VILLA LINDE PKWY
STE 30
FLINT, MI 485323450
Phone: (734) 324-8326
Type: Mailing
17321 Telegraph Rd
Detroit, MI 482193132
Phone: (313) 531-2500
Type: Location
111 E 1st St
Monroe, MI 481612265
Phone: (734) 344-7432
Type: Location
14799 DIX TOLEDO RD # 200
SOUTHGATE, MI 48195
Phone: (734) 324-8326
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,188.
Total Amount is formed as General ($1,188) + Research ($0) + Ownership ($0) = $1,188.
Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($310).
Total Amount
$1,188
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $310 |
| ABBVIE INC. | $270 |
| Indivior Inc. | $214 |
| Axsome Therapeutics, Inc. | $160 |
| ITI, Inc. | $125 |
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: 2014-12-15
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 |
|---|---|---|---|---|
| I20141215002370 | I | Nurse Practitioner | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48185)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MI | |
| Nurse Practitioner | MI | |
| Mental Health Counselor | MI | |
| - | MI | |
| - | GA | |
| Clinical Social Worker | FL | |
| - | GA | |
| Clinical Social Worker | MI | |
| - | MI | |
| Clinical Social Worker | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.