Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Robert Lee Graves

Individual provider Family Nurse Practitioner · NPI 1770216913

Robert Lee Graves is a Nurse Practitioner in Newark, Ohio. Qualified in 2022, 4 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-4151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0031548 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0031548 (OH)

Record details

NPI number1770216913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

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 Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients282
Services billed 319 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Licking Memorial Professional Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 235 clinicians in the practice; 12 are shown here.

Other providers in Newark