Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Ann Degraff, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1588399737

Lisa Ann Degraff, PMHNP-BC is a Nurse Practitioner in Clovis, California. Qualified in 2022, 4 years ago. Practices with Mellow Medical Inc a Professional Corporation, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

866 Park Ave
Clovis, CA 93611-8542
Phone: (559) 960-0929
Fax: (559) 241-6609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2615 E Clinton Ave, Fresno, CA 93703-2223 — (559) 241-6404

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95021818 (CA)

Record details

NPI number1588399737
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedJuly 21, 2022
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mellow Medical Inc A Professional Corporation — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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