STEPHANIE GRAHAM (PAC) – Medical Physician Assistant, NPI 1043706856

STEPHANIE GRAHAM (PAC) is a healthcare provider. based in Arvada, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA.0005464 (CO). The NPI Number for STEPHANIE GRAHAM (PAC) is 1043706856

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE GRAHAM (PAC)
NPI
1043706856
Phone
(630) 440-3899
Address
6774 KLINE ST
Enumeration Date
4 July 2018
Last Update Date
19 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034366000
Graduation Year
2018 (8 years ago)
PAC ID
9638421159
Group Practice PAC ID
4688583578
Professional Enrollment ID
I20181011001439
Address ID
CO802044507DE777XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for STEPHANIE GRAHAM (PAC)

  • 6774 KLINE ST

    ARVADA, CO 800041548

    Phone: (630) 440-3899

    Type: Mailing

  • 777 BANNOCK ST

    DENVER, CO 802044597

    Phone: (303) 602-3899

    Fax: (303) 602-3902

    Type: Location

  • 901 COLORADO BLVD APT 311

    DENVER, CO 802064087

    Phone: (630) 440-3899

    Type: Mailing

  • West 2nd Place, Lakewood, Jefferson County, Colorado, 80228, United States

    LAKEWOOD, CO 80228

    Phone: (303) 595-2727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $264.

Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Boston Scientific Corporation ($142).

Total Amount

$264

General + Research + Ownership

Payments

12

Total payment records

General Amount

$264

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181011001439IPhysician AssistantCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6262$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report5454$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2420$0
View full utilization report →

Insurance plans in this area (ZIP 80004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688583578View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)CO
-CO
-CO
P A T H O L O G YCO
Physician AssistantCO
Internal MedicineCO
P A T H O L O G YGA
-CO
Internal MedicineCO
Interventional RadiologyNY

Reviews

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Frequently asked questions

Can I cross-check STEPHANIE GRAHAM (PAC) using NPI 1043706856?
NPI 1043706856 belongs to STEPHANIE GRAHAM (PAC); compare other details if you need extra assurance.
Is there an active status for STEPHANIE GRAHAM (PAC)?
For scheduling context, STEPHANIE GRAHAM (PAC) is shown as active in the registry.
What area of care is associated with STEPHANIE GRAHAM (PAC)?
STEPHANIE GRAHAM (PAC)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Colorado is STEPHANIE GRAHAM (PAC) registered?
Use Arvada, Colorado as the headline location for STEPHANIE GRAHAM (PAC) here.
Can I trust this NPI listing for STEPHANIE GRAHAM (PAC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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