Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1801559984

Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP is a Nurse Practitioner in Prescott Valley, Arizona. Qualified in 2021, 5 years ago. Practices with Spectrum Healthcare Group Inc, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
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

3274 Bob Dr
Prescott Valley, AZ 86314-8640
Phone: (928) 203-5414
Fax: (866) 984-3891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RNP265685 (AZ)

Record details

NPI number1801559984
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , APRN-RNP
Sole proprietorNo
NPI enumeratedOctober 15, 2021
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Spectrum Healthcare Group Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Prescott Valley