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KAREN JANE KIRBY-GRAHAM NP
NPI 1215946264
Nurse Practitioner - Family in Greensboro, NC

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
83.67/100
CMS Quality Rating
1200 N ELM ST, GREENSBORO, NC 27401(336) 832-2820 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2021, Aug 19, 2021, Jun 4, 2021 (3 updates tracked since 2021).

About Karen Jane Kirby-graham Np NPPES

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

KAREN JANE KIRBY-GRAHAM NP (NPI 1215946264) is an individual family provider in Greensboro, North Carolina, licensed in North Carolina (900385) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Mcleod Loris Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1215946264
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN JANE KIRBY-GRAHAMCredential: NP
Location Address1200 N ELM STGreensboro, NC 27401-1004
Mailing Address40 S Main St Ste 1300Memphis, TN 38103-5513 · (336) 209-4288
Phone(336) 832-2820
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 7, 2006
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1215946264 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 NC · 900385
1200 N ELM ST, Greensboro, NC 27401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.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

Karen Jane Kirby-graham Np 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 ID8325007578
PECOS Enrollment IDI20231018002522
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services48 patients

Hospital Affiliations CMS Care Compare

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

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

83.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.56
Promoting Interoperability80
Improvement Activities40
Cost67.7

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.

CHRISTINA MARIA ALBERT MD
Family Medicine
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7000
DR. PRINCE ADU AMOAKO MD
Student in an Organized Health Care Education/Training Program
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7272
DR. STEPHEN THOMAS RANCOUR M. D.
Emergency Medicine
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 716-2255
PAMELA JEAN REITNAUER MD
Pediatrics
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-8060
DR. DIANA LAVINDER NGUYEN MD
Student in an Organized Health Care Education/Training Program
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7272
STEPHANIE NICOLE DIXON FNP-C
Nurse Practitioner
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-7000
ABDULLAHI HUSSEIN MD
Internal Medicine (Critical Care Medicine)
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 522-8999
MR. MARK JOSEPH SAWULSKI P.T.
Physical Therapist
1200 N ELM ST
GREENSBORO, NC 27401
Guilford County (336) 832-8120

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 Karen Kirby-graham's NPI number?

The NPI number for Karen Kirby-graham is 1215946264. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Karen Kirby-graham located?

Karen Kirby-graham practices at 1200 N Elm St, Greensboro, NC 27401. The listed phone number is (336) 832-2820.

What is Karen Kirby-graham's specialty?

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

Is Karen Kirby-graham enrolled in Medicare?

Yes. Karen Kirby-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 Karen Kirby-graham accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Karen Kirby-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.

Is Karen Kirby-graham affiliated with any hospitals?

According to CMS data, Karen Kirby-graham is affiliated with Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Karen Kirby-graham was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.