DR. SHENELL GRAHAM DNP, APRN, PMHNP-BC
NPI 1750943817
Nurse Practitioner - Psychiatric/Mental Health in Suffolk, VA
NPI Status: Active since June 28, 2019
Contact Information
3897 BRIDGE RD
BUILDING B STE 104
SUFFOLK, VA
ZIP 23435
Phone: (757) 758-6001
Fax: (757) 758-6844
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- Opted-Out Medicare
About SHENELL GRAHAM
This page provides the complete NPI Profile along with additional information for Shenell Graham, a provider established in Suffolk, Virginia with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1750943817 assigned on June 2019. The practitioner's primary taxonomy code is 363LP0808X with license number 0024177787 (VA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1750943817
- Provider Name
- DR. SHENELL GRAHAM DNP, APRN, PMHNP-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3897 BRIDGE RD BUILDING B STE 104 SUFFOLK, VA 23435
- Location Phone
- (757) 758-6001
- Location Fax
- (757) 758-6844
- Mailing Address
- 3897 BRIDGE RD BUILDING B STE 104 SUFFOLK, VA 23435
- Mailing Phone
- (757) 758-6001
- Mailing Fax
- (757) 758-6844
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-28-2019
- Last Update Date
- 11-16-2023
- Code Navigator
A nurse practitioner (NP) like Shenell Graham is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Shenell Graham opted out of Medicare effective on 10-01-2023 until 10-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 0024177787
- License State
- VA
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2023
Opt-Out End Date: 10-01-2025
Eligible to Order and Refer? No
Reviews for DR. SHENELL GRAHAM DNP, APRN, PMHNP-BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 9 | 4 | 3 | 8 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 18 | 4 | 6 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 8 + 4 + 6 + 8 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1750943817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619453941 | MRS. FRANCES YVONNE FUTRELL LPC Individual | Counselor (Professional) | 3897 BRIDGE RD SUFFOLK, VA 23435 (757) 394-1961 |
| 1619452356 | KARI JEM DOBZYNSKI LPC Individual | Counselor (Mental Health) | 3897 BRIDGE RD SUFFOLK, VA 23435 (757) 394-1965 |
| 1306481171 | MRS. JENNIFER RUSSELL HORNBY LPC Individual | Counselor (Professional) | 3897 BRIDGE RD SUFFOLK, VA 23435 (757) 394-1961 |
| 1487476479 | EMILY EAKINS Individual | Behavior Technician | 3897 BRIDGE RD SUFFOLK, VA 23435 (757) 465-3933 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750943817, enumerated in the NPI registry as an "individual" on June 28, 2019
The provider is located at 3897 Bridge Rd Building B Ste 104 Suffolk, Va 23435 and the phone number is (757) 758-6001
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
No, the provider signed an affidavit on October 01, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2025.
This NPI record was last updated on June 28, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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