Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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
Mailing address1320 W Main St, Newark, OH 43055-1822

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

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