Physician Compare National (NPI:1497783062)

HEALTHCARE PROVIDER: MIANNE GRAA N.P.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497783062
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092737106
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080122000343
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRAA
	Individual professional last name
Provider First Name	MIANNE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	401 S WASHINGTON ST
	Group Practice or individual's line 1 address
City	BUTTE
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	597012423
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4067238051
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	270017
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST JAMES HEALTHCARE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	271335
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COMMUNITY HOSPITAL OF ANACONDA
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y