KATHLEEN POWERS GRAHAM (NP-C) – Adult Health Nurse Practitioner, NPI 1407100357

KATHLEEN POWERS GRAHAM (NP-C) is a healthcare provider. based in Maplewood, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. G0712013 (MN). The NPI Number for KATHLEEN POWERS GRAHAM (NP-C) is 1407100357

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN POWERS GRAHAM (NP-C)
NPI
1407100357
Phone
(612) 871-1145
Address
1973 SLOAN PL
Enumeration Date
30 October 2012
Last Update Date
24 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128634633
Graduation Year
2012 (14 years ago)
PAC ID
4486806619
Group Practice PAC ID
8123016557
Professional Enrollment ID
I20121214000114
Address ID
MN554073723MI800XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KATHLEEN POWERS GRAHAM (NP-C)

  • 1973 SLOAN PL

    MAPLEWOOD, MN 551172084

    Phone: (612) 871-1145

    Type: Mailing

  • 15700 37TH AVE N STE 300

    PLYMOUTH, MN 554463661

    Phone: (612) 871-1145

    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: 2012-12-14

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
I20121214000114INurse PractitionerMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes172115$0
99214Established patient office or other outpatient visit, 30-39 minutes3229$0
99213Established patient office or other outpatient visit, 20-29 minutes2322$0
36415Insertion of needle into vein for collection of blood sample1713$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 55117)

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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: 8123016557View full group profile
NameSpecialtyState
-MN
-MN
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Pediatric MedicineMN
Certified Registered Nurse Anesthetist (Crna)MN
Physician AssistantMN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YMN

Reviews

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Frequently asked questions

Is KATHLEEN POWERS GRAHAM (NP-C) listed with a National Provider Identifier?
Yes — KATHLEEN POWERS GRAHAM (NP-C) has NPI 1407100357 on file in the registry.
Is KATHLEEN POWERS GRAHAM (NP-C) shown as active in public data?
Registry records indicate KATHLEEN POWERS GRAHAM (NP-C) maintains an active NPI.
What expertise is attributed to KATHLEEN POWERS GRAHAM (NP-C)?
KATHLEEN POWERS GRAHAM (NP-C)'s specialty line reads Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KATHLEEN POWERS GRAHAM (NP-C)?
Travel planning: use Maplewood, Minnesota as the reference point for KATHLEEN POWERS GRAHAM (NP-C), then confirm.
Does KATHLEEN POWERS GRAHAM (NP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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