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Kelley Graves, APRN

Nurse Practitioner in Coon Rapids, MN. Individual provider (NPI-1).

NPI number1689313447
StatusActive
Last updated in NPPESJul 6, 2022

Details

NPI
1689313447
Entity type
Individual (NPI-1)
Name
Kelley Graves
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2022
Certification date
Jul 6, 2022
Last updated
Jul 6, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner9219MNYes

Practice location

11475 Robinson Dr Nw
Coon Rapids, MN 55433-3746

Phone 763-587-9000 · Fax 763-587-9130

Mailing address

8170 33rd Ave S
Ms 21110q
Bloomington, MN 55425-4516

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Coon Rapids, MN

All 31 Nurse Practitioner providers in Coon Rapids · All 2,183 providers in Coon Rapids

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