Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Marie Graham

Individual provider Pediatric Nurse Practitioner · NPI 1659896041

Lisa Marie Graham is a Nurse Practitioner in Columbus, Ohio. Qualified in 2016, 10 years ago. Practices with Pediatric Academic Association, Inc, a 250-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

700 Childrens Dr
Columbus, OH 43205-2664
Phone: (614) 722-9082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APRN.CNP.021468 (OH)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN.CNP.021468 (OH)

Record details

NPI number1659896041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pediatric Academic Association, Inc. — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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