HOLLY DAWN GRAVES (APRN) – Family Nurse Practitioner, NPI 1083085898

HOLLY DAWN GRAVES (APRN) is a healthcare provider. based in Wichita, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11017419 (FL). The NPI Number for HOLLY DAWN GRAVES (APRN) is 1083085898

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY DAWN GRAVES (APRN)
NPI
1083085898
Phone
(316) 687-3275
Address
3252 E DOUGLAS AVE STE 101
Enumeration Date
19 October 2015
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
31685871004923
Graduation Year
2015 (11 years ago)
PAC ID
1557671229
Group Practice PAC ID
5698968881
Professional Enrollment ID
I20151110001303
Address ID
KS672144924WI551XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

Provider Addresses for HOLLY DAWN GRAVES (APRN)

  • 3252 E DOUGLAS AVE STE 101

    WICHITA, KS 672083354

    Phone: (316) 687-3275

    Fax: (833) 907-2276

    Type: Location

  • 1101 N ROCK RD

    DERBY, KS 670373705

    Phone: (316) 788-6963

    Fax: (316) 788-5373

    Type: Mailing

  • 1394 John Sims Pkwy E

    Niceville, FL 325782208

    Phone: (850) 517-1920

    Fax: (850) 517-1950

    Type: Location

  • 1821 E Madison Ave Ste 1100

    Derby, KS 670372300

    Phone: (316) 669-8082

    Fax: (316) 669-9688

    Type: Location

  • 3560 N Maize Rd Ste 106

    Wichita, KS 672057393

    Phone: (316) 687-3275

    Fax: (833) 907-2276

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-11-10

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
I20151110001303INurse PractitionerKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67208)

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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: 5698968881View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Nurse PractitionerCO
O B S T E T R I C S/ G Y N E C O L O G YCO
Family Practice, Obstetrics/GynecologyKS

Reviews

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Frequently asked questions

Is there an official ID for HOLLY DAWN GRAVES (APRN) in U.S. healthcare records?
The official identifier for HOLLY DAWN GRAVES (APRN) is NPI 1083085898.
Active or inactive — what applies to HOLLY DAWN GRAVES (APRN)?
You should see HOLLY DAWN GRAVES (APRN) as active in CMS-hosted NPPES data.
What expertise is attributed to HOLLY DAWN GRAVES (APRN)?
HOLLY DAWN GRAVES (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for HOLLY DAWN GRAVES (APRN)?
Travel planning: use Wichita, Kansas as the reference point for HOLLY DAWN GRAVES (APRN), then confirm.
When was this NPI issued?
Enumeration for HOLLY DAWN GRAVES (APRN) is noted as October 19, 2015 where the registry provides it.

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