KRISTEN GRAHAM (PA-C) – Physician Assistant, NPI 1073053559

KRISTEN GRAHAM (PA-C) is a healthcare provider. based in Kalamazoo, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008150 (MI). The NPI Number for KRISTEN GRAHAM (PA-C) is 1073053559

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN GRAHAM (PA-C)
NPI
1073053559
Phone
(269) 341-8481
Address
601 JOHN ST # 74
Enumeration Date
2 March 2017
Last Update Date
9 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168408162
Graduation Year
2016 (10 years ago)
PAC ID
3274818703
Group Practice PAC ID
4587576541
Professional Enrollment ID
I20170324002168
Address ID
MI495035247GR235XXFLXX501

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Secure Messaging
kgraham170063@direct.covenanthealthcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

6,112 PHYSICIAN ASSISTANT in MI

Provider Addresses for KRISTEN GRAHAM (PA-C)

  • 601 JOHN ST # 74

    KALAMAZOO, MI 490075341

    Phone: (269) 341-8481

    Fax: (269) 341-7781

    Type: Location

  • Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    BOX 74

    KALAMAZOO, MI 490075341

    Phone: (269) 341-8481

    Fax: (269) 341-7781

    Type: Mailing

  • 235 WEALTHY ST SE

    GRAND RAPIDS, MI 495035247

    Phone: (616) 840-8000

    Fax: (616) 840-9642

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $200.

Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($102).

Total Amount

$200

General + Research + Ownership

Payments

7

Total payment records

General Amount

$200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

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: 2017-03-24

PECOS data refreshed: 2026-06-15

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
I20170324002168IPhysician AssistantMITBD

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
99316Nursing facility discharge management, more than 30 minutes2424$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2119$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 49007)

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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: 4587576541View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Medicine And RehabilitationMI
Physician AssistantMI
Physical Medicine And RehabilitationMI
Nurse PractitionerMI
Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
Clinical PsychologistMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KRISTEN GRAHAM (PA-C)?
KRISTEN GRAHAM (PA-C) — NPI 1073053559 — is the standard way to identify this listing.
Is KRISTEN GRAHAM (PA-C) listed as active for patients and plans?
The listing shows KRISTEN GRAHAM (PA-C) as active in the NPI system.
What is KRISTEN GRAHAM (PA-C)'s specialty?
The listing groups KRISTEN GRAHAM (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does KRISTEN GRAHAM (PA-C) serve?
KRISTEN GRAHAM (PA-C)'s listing highlights Kalamazoo, Michigan; more addresses can appear in NPPES.
Is the information about KRISTEN GRAHAM (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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