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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY MICHELLE GRAVES
NPI 1275210478
Nurse Practitioner in Las Vegas, NV

Active since June 29, 2023PECOS Enrolled
2820 W CHARLESTON BLVD STE 14, LAS VEGAS, NV 89102(855) 871-0841 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 16, 2026, Aug 9, 2023 (2 updates tracked since 2023).

About Kimberly Michelle Graves NPPES

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

KIMBERLY MICHELLE GRAVES (NPI 1275210478) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (870340) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275210478
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY MICHELLE GRAVES
Location Address2820 W CHARLESTON BLVD STE 14Las Vegas, NV 89102-1930
Mailing Address224 Shasta Meadows StHenderson, NV 89012-5342 · (775) 842-7335
Phone(855) 871-0841
Sole ProprietorNo
Enumeration DateJune 29, 2023
Last NPPES UpdateAugust 16, 20262 updates tracked since enumeration
NPPES CertifiedAugust 16, 2026
✔ NPI 1275210478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NV · 870340
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2820 W CHARLESTON BLVD STE 14, Las Vegas, NV 89102
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Other Names 1

Former Name (1)Kimberly Michelle Kennedy Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Michelle Graves is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 2

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

LEANNE QUIZON APRN, FNP-C
Nurse Practitioner (Family)
2820 W CHARLESTON BLVD STE 14
LAS VEGAS, NV 89102
Clark County (725) 777-2820
SABRINA MARIE DONOVAN FNP
Nurse Practitioner (Family)
2820 W CHARLESTON BLVD STE 14
LAS VEGAS, NV 89102
Clark County (725) 529-3290

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 Kimberly Graves's NPI number?

The NPI number for Kimberly Graves is 1275210478. It was assigned to this individual provider in the NPPES registry on June 29, 2023. The provider is also known as Kimberly Michelle Kennedy Np.

Where is Kimberly Graves located?

Kimberly Graves practices at 2820 W Charleston Blvd Ste 14, Las Vegas, NV 89102. The listed phone number is (855) 871-0841.

What is Kimberly Graves's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Graves enrolled in Medicare?

Yes. Kimberly Graves is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Graves was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.