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STEPHANIE GRAHAM PAC
NPI 1043706856
Physician Assistant - Medical in Denver, CO

Active since July 04, 2018PECOS EnrolledAccepts Medicare Assignment
74.49/100
CMS Quality Rating
777 BANNOCK ST, DENVER, CO 80204(303) 602-3899(303) 602-3902 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2024, Feb 22, 2023, Aug 23, 2019 and 1 more (4 updates tracked since 2018).

About Stephanie Graham Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE GRAHAM PAC (NPI 1043706856) is an individual medical provider in Denver, Colorado, licensed in Colorado (PA.0005464) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043706856
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTEPHANIE GRAHAMCredential: PAC
Location Address777 BANNOCK STDenver, CO 80204-4597
Mailing Address6774 Kline StArvada, CO 80004-1548 · (630) 440-3899
Phone(303) 602-3899
Fax(303) 602-3902
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 4, 2018
Last NPPES UpdateJuly 19, 20244 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1043706856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · PA.0005464
777 BANNOCK ST, Denver, CO 80204
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Graham Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638421159
PECOS Enrollment IDI20181011001439
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services46 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.38
Promoting Interoperability78
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHERINE JEANNE CARLEY RN, MSN, CS
Clinical Nurse Specialist (Psychiatric/Mental Health)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6630
RYAN DEAN LATERZA M.D.
Anesthesiology
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
BARBARA E ANDERSON NP
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-0340
PHILIP ANDREOLI D.O.
Hospitalist
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-4949
JESSICA RENEE KUDLOCK LCSW
Social Worker (Clinical)
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 602-7220
ELIZABETH PERKINS-PRIDE
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KIRSTEN ERIKSEN PA-C
Physician Assistant
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000
KATHRYN IRENE GARNER MD, MPH
Family Medicine
777 BANNOCK ST
DENVER, CO 80204
Denver County (303) 436-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Graham's NPI number?

The NPI number for Stephanie Graham is 1043706856. It was assigned to this individual provider in the NPPES registry on July 4, 2018.

Where is Stephanie Graham located?

Stephanie Graham practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 602-3899.

What is Stephanie Graham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stephanie Graham enrolled in Medicare?

Yes. Stephanie Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephanie Graham was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.