SAMANTHA JO GRAF DNP, FNP-BC
NPI 1053287490
Nurse Practitioner - Family in Golden Valley, MN

Active since October 14, 2025PECOS Enrolled
820 LILAC DR N STE 140, GOLDEN VALLEY, MN 55422(763) 465-0500 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2025, Nov 21, 2025 (2 updates tracked since 2025).

About Samantha Jo Graf Dnp, Fnp-bc NPPES

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

SAMANTHA JO GRAF DNP, FNP-BC (NPI 1053287490) is an individual family provider in Golden Valley, Minnesota, licensed in Minnesota (13563) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053287490
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JO GRAFCredential: DNP, FNP-BC
Location Address820 LILAC DR N STE 140Golden Valley, MN 55422-4791
Mailing Address11237 President Dr NeBlaine, MN 55434-1774 · (612) 805-8774
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 14, 2025
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1053287490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 13563
820 LILAC DR N STE 140, Golden Valley, MN 55422

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Jo Graf Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406330471
PECOS Enrollment IDI20260318002598
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
820 LILAC DR N STE 140
GOLDEN VALLEY, MN 55422
Internal Medicine (Geriatric Medicine)
820 LILAC DR N STE 140
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Acute Care)
820 LILAC DR N STE 140
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Family)
820 LILAC DR N STE 140
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Gerontology)
820 LILAC DR N STE 140
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Family)
820 LILAC DR N STE 140
GOLDEN VALLEY, MN 55422
Counselor (Professional)
820 LILAC DR N STE 140
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Family)
820 LILAC DR N STE 140
GOLDEN VALLEY, MN 55422

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 Samantha Graf's NPI number?

The NPI number for Samantha Graf is 1053287490. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Samantha Graf located?

Samantha Graf practices at 820 Lilac Dr N Ste 140, Golden Valley, MN 55422. The listed phone number is (763) 465-0500.

What is Samantha Graf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Graf enrolled in Medicare?

Yes. Samantha Graf is registered in the Medicare PECOS enrollment system.

Is Samantha Graf affiliated with any hospitals?

According to CMS data, Samantha Graf is affiliated with Park Nicollet Methodist Hospital and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Samantha Graf was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.