KATHLEEN GRAHAM (AGPCNP-C) – Gerontology Nurse Practitioner, NPI 1043760200
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for KATHLEEN GRAHAM (AGPCNP-C)
1500 MARKET ST. WEST TOWER
LM 500
PHILADELPHIA, PA 19102
Phone: (215) 985-2500
Fax: (267) 765-2325
Type: Mailing
1100 9th Ave
MailStop G1-MSO
Seattle, WA 981012756
Phone: (206) 583-6063
Type: Location
1900, North 9th Street, Philadelphia Gas Works, Philadelphia, Philadelphia County, Pennsylvania, 19122, United States
PHILADELPHIA, PA 19122
Phone: (215) 765-6690
Fax: (215) 765-6694
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: 2019-05-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190506001122 | I | Nurse Practitioner | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 78 | 58 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 33 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 26 | 26 | $0 |
| G0008 | Administration of influenza virus vaccine | 17 | 17 | $0 |
Insurance plans in this area (ZIP 19102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Family Practice | NJ | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | IL | |
| Mental Health Counselor | PA | |
| Addiction Medicine, Family Practice | GA | |
| Family Practice | PA | |
| Family Practice | PA |
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