JULIE GRAHAM – Family Nurse Practitioner, NPI 1053199802

JULIE GRAHAM is a healthcare provider. based in Medford, Oregon. specializing in NURSE PRACTITIONER. They hold a License No. 10016066 (OR). The NPI Number for JULIE GRAHAM is 1053199802

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JULIE GRAHAM
NPI
1053199802
Phone
(541) 282-2200
Address
2900 DOCTORS PARK DR STE 200
Enumeration Date
21 September 2023
Last Update Date
24 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412822208
Graduation Year
2023 (3 years ago)
PAC ID
4486009404
Group Practice PAC ID
1850374240
Professional Enrollment ID
I20231011003165
Address ID
OR975048198ME2900XDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for JULIE GRAHAM

  • 2900 DOCTORS PARK DR STE 200

    MEDFORD, OR 975048198

    Phone: (541) 282-2200

    Fax: (541) 282-2275

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$125
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: 2023-10-11

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
I20231011003165INurse 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.

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

Insurance plans in this area (ZIP 97504)

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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: 1850374240View full group profile
NameSpecialtyState
Physician AssistantNV
-OR
Nurse PractitionerOR
Nurse PractitionerOR
Family PracticeLA
-OR
Internal MedicineOR
Nurse PractitionerOR
Physician AssistantOR
Family PracticeOR

Reviews

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Frequently asked questions

How do I look up JULIE GRAHAM by NPI?
Use NPI 1053199802 when you need to reference JULIE GRAHAM in forms, claims, or directories.
Is JULIE GRAHAM's NPI currently valid?
The extract we use shows JULIE GRAHAM as active.
What kind of provider is JULIE GRAHAM?
The page reflects Family Nurse Practitioner for JULIE GRAHAM. Clinical services aligned with this taxonomy classification.
Does JULIE GRAHAM practice in Oregon?
You will see Medford, Oregon on file for JULIE GRAHAM alongside any extra practice locations.
Is JULIE GRAHAM a real provider?
This page reflects official NPPES data for NPI 1053199802. Always confirm identity and privileges with the practice and licensing boards.

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