NETTIE NICOLE GRAFF – Case Manager/Care Coordinator, NPI 1114508421

NETTIE NICOLE GRAFF is a healthcare provider. based in Muskogee, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for NETTIE NICOLE GRAFF is 1114508421

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
NETTIE NICOLE GRAFF
NPI
1114508421
Phone
(918) 682-9292
Address
814 W OKMULGEE ST
Enumeration Date
19 April 2021
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186828407
Graduation Year
2021 (5 years ago)
PAC ID
3678079241
Group Practice PAC ID
8022019017
Professional Enrollment ID
I20251002000904
Address ID
OK744014431MU619XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for NETTIE NICOLE GRAFF

  • 814 W OKMULGEE ST

    MUSKOGEE, OK 744016839

    Phone: (918) 682-9292

    Fax: (918) 682-0054

    Mailing address matches the actual address.

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: 2025-10-02

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
I20251002000904IMental Health CounselorOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74401)

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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: 8022019017View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Clinical Social WorkerOK
Nurse PractitionerOK
Family PracticeOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Nurse PractitionerOK
Physician AssistantOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

How do I look up NETTIE NICOLE GRAFF by NPI?
Use NPI 1114508421 when you need to reference NETTIE NICOLE GRAFF in forms, claims, or directories.
Is NETTIE NICOLE GRAFF's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does NETTIE NICOLE GRAFF list a primary specialty?
If you are matching referrals, note Case Manager/Care Coordinator for NETTIE NICOLE GRAFF. Clinical services aligned with this taxonomy classification.
What location shows for NETTIE NICOLE GRAFF?
We surface Muskogee, Oklahoma for NETTIE NICOLE GRAFF based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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