KATELYN GRAVES (PA-C) – Physician Assistant, NPI 1093187965

KATELYN GRAVES (PA-C) is a healthcare provider. based in Copperas cove, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KATELYN GRAVES (PA-C) is 1093187965

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN GRAVES (PA-C)
NPI
1093187965
Phone
(860) 428-3986
Address
1112 DRYDEN AVE
Enumeration Date
30 October 2015
Last Update Date
22 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604707710
Graduation Year
2015 (11 years ago)
PAC ID
2365857497
Group Practice PAC ID
0840570628
Professional Enrollment ID
I20210223000093
Address ID
CT060851278UN45XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for KATELYN GRAVES (PA-C)

  • 1112 DRYDEN AVE

    COPPERAS COVE, TX 765221342

    Phone: (860) 428-3986

    Type: Mailing

  • 36000 DARNALL LOOP

    FORT HOOD, TX 765445095

    Phone: (254) 288-8000

    Type: Location

  • 25 WALL ST

    UNIONVILLE, CT 060851258

    Phone: (860) 428-3986

    Type: Mailing

  • 45 S MAIN ST

    UNIONVILLE, CT 060851278

    Phone: (860) 470-7710

    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: 2025-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210223000093IPhysician AssistantCTTBD
I20251003001393IPhysician AssistantMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes9673$0
99203New patient office or other outpatient visit, 30-44 minutes5050$0
99214Established patient office or other outpatient visit, 30-39 minutes3533$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1616$0
View full utilization report →

Insurance plans in this area (ZIP 76522)

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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: 0840570628View full group profile
NameSpecialtyState
Nurse PractitionerCT
Physician AssistantCT
Physician AssistantCT
Emergency MedicineCT
Physician AssistantME
Nurse PractitionerCT
Physician AssistantMA
Nurse PractitionerCT
Physician AssistantCT
Physician AssistantCT

Reviews

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Frequently asked questions

Can I verify KATELYN GRAVES (PA-C) with an NPI only?
You can start verification with NPI 1093187965 for KATELYN GRAVES (PA-C), then check state licensing separately.
Does the file indicate KATELYN GRAVES (PA-C) is practicing under active NPI?
Directory data currently reports KATELYN GRAVES (PA-C) as active.
What taxonomy line describes KATELYN GRAVES (PA-C)?
For research purposes, treat KATELYN GRAVES (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is KATELYN GRAVES (PA-C) based?
KATELYN GRAVES (PA-C) is tied to Copperas Cove, Texas in the data we show; additional addresses may exist on the full record.
Why does KATELYN GRAVES (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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