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DR. JUSTIN DONALD GRAHAM M.D.
NPI 1720244163
Psychiatry & Neurology - Child & Adolescent Psychiatry in Edina, MN

Active since August 05, 2008PECOS Enrolled
6363 FRANCE AVE S STE 200, EDINA, MN 55435(952) 230-9100(952) 922-2525 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Justin Donald Graham M.d. NPPES

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

DR. JUSTIN DONALD GRAHAM M.D. (NPI 1720244163) is an individual child & adolescent psychiatry provider in Edina, Minnesota, licensed in Minnesota (52451) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720244163
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JUSTIN DONALD GRAHAMCredential: M.D.
Location Address6363 FRANCE AVE S STE 200Edina, MN 55435-2140
Mailing Address6363 France Ave S Ste 200Edina, MN 55435-2140 · (952) 230-9100 · Fax (952) 922-2525
Phone(952) 230-9100
Fax(952) 922-2525
Sole ProprietorYes
Enumeration DateAugust 5, 2008
Last NPPES UpdateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
✔ NPI 1720244163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MN · 52451
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
6363 FRANCE AVE S STE 200, Edina, MN 55435
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin Donald Graham M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Croix Psychiatric, LLC
19 mi
Psychiatry
7616 CURRELL BLVD, SUITE 100
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 127 clinicians in this Medicare group
NPI 1881849586 (651) 259-9700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SARAH BURNS LICSW
Social Worker (Clinical)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (952) 230-9100
KRISTEN CARUSO CASE MD
Psychiatry & Neurology (Psychiatry)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (952) 230-9100
MATTHEW ADAMS M.D.
Psychiatry & Neurology (Psychiatry)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (952) 230-9100
BRENT GREGORY NELSON M.D.
Psychiatry & Neurology (Psychiatry)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (952) 230-9100
MELISSA MARY CONWAY LICSW
Social Worker (Clinical)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (651) 558-1396
BRITTANY HOWLAND M.A., LPCC
Counselor (Mental Health)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (952) 230-9100
KRISTEN PEARL KEARNS LPCC
Counselor (Mental Health)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (612) 868-9849
CHARMAGNE WILDER MA, LPCC
Counselor (Mental Health)
6363 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (952) 903-1392

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 Justin Graham's NPI number?

The NPI number for Justin Graham is 1720244163. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Justin Graham located?

Justin Graham practices at 6363 France Ave S Ste 200, Edina, MN 55435. The listed phone number is (952) 230-9100.

What is Justin Graham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Justin Graham enrolled in Medicare?

Yes. Justin Graham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Graham reassigns Medicare benefits to St. Croix Psychiatric, LLC (Woodbury, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Graham accept?

Health plans from HealthPartners list Justin 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 Justin Graham was last updated on September 25, 2020. 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.