KRISTY GRAHAM (FNP-BC) – Family Nurse Practitioner, NPI 1134749898
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for KRISTY GRAHAM (FNP-BC)
23838 PACIFIC COAST HWY UNIT 752
MALIBU, CA 902651441
Phone: (805) 975-7007
Type: Mailing
2102 BROAD ST
SAN LUIS OBISPO, CA 934015205
Phone: (805) 975-7007
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $773.
Total Amount is formed as General ($773) + Research ($0) + Ownership ($0) = $773.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($563).
Total Amount
$773
General + Research + Ownership
Payments
17
Total payment records
General Amount
$773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $563 |
| REVANCE THERAPEUTICS, INC. | $196 |
| Galderma Laboratories, L.P. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200828001767 | I | Nurse Practitioner | CA | TBD |
| I20250324002681 | I | Nurse Practitioner | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| Registered Dietitian Or Nutrition Professional | CA |
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