KATHLEEN GRAHAM AGPCNP-C
NPI 1043760200
Nurse Practitioner - Gerontology in Philadelphia, PA

Active since October 11, 2016PECOS EnrolledAccepts Medicare Assignment
1900 N 9TH ST, PHILADELPHIA, PA 19122(215) 765-6690(215) 765-6694 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2019, Oct 11, 2016 (2 updates tracked since 2016).

About Kathleen Graham Agpcnp-c NPPES

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

KATHLEEN GRAHAM AGPCNP-C (NPI 1043760200) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP019911) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1043760200
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATHLEEN GRAHAMCredential: AGPCNP-C
Location Address1900 N 9TH STPhiladelphia, PA 19122
Mailing Address1500 Market St. West Tower, Lm 500Philadelphia, PA 19102 · (215) 985-2500 · Fax (267) 765-2325
Fax(215) 765-6694
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 11, 2016
Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration
NPI 1043760200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in PA · SP019911
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP60690424 (WA)
1900 N 9TH ST, Philadelphia, PA 19122

Secondary Practice Location 1

Location 11100 9th Ave, MailStop G1-MSOSeattle, WA 98101-2756 · Phone (206) 583-6063

Accepted Insurance

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

Kathleen Graham Agpcnp-c 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 ID9133408305
PECOS Enrollment IDI20190506001122
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 5

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
79 services44 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
37 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
16 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$186.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
1900 N 9TH ST, SUITE 104
PHILADELPHIA, PA 19122
Nurse Practitioner (Adult Health)
1900 N 9TH ST, SUITE 104
PHILADELPHIA, PA 19122
Pharmacy
1900 N 9TH ST
PHILADELPHIA, PA 19122
Nurse Practitioner (Family)
1900 N 9TH ST
PHILADELPHIA, PA 19122
Pharmacy
1900 N 9TH ST
PHILADELPHIA, PA 19122
Nurse Practitioner (Family)
1900 N 9TH ST, SUITE 104
PHILADELPHIA, PA 19122
Clinic/Center (Federally Qualified Health Center (FQHC))
1900 N 9TH ST
PHILA, PA 19122
Social Worker (Clinical)
1900 N 9TH ST, SUITE 104
PHILADELPHIA, PA 19122

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 Kathleen Graham's NPI number?

The NPI number for Kathleen Graham is 1043760200. It was assigned to this individual provider in the NPPES registry on October 11, 2016.

Where is Kathleen Graham located?

Kathleen Graham practices at 1900 N 9th St, Philadelphia, PA 19122. The listed phone number is (215) 765-6690.

What is Kathleen Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kathleen Graham enrolled in Medicare?

Yes. Kathleen 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.

What insurance does Kathleen Graham accept?

Health plans from PacificSource Health Plans list Kathleen Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Graham was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.