MCKENNA GRAHAM PA-C
NPI 1982459707
Physician Assistant in Boulder, CO

Active since April 23, 2024PECOS EnrolledAccepts Medicare Assignment
1790 30TH ST, BOULDER, CO 80301(303) 997-1733 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2024, Jun 9, 2024, Apr 23, 2024 (3 updates tracked since 2024).

About Mckenna Graham Pa-c NPPES

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

MCKENNA GRAHAM PA-C (NPI 1982459707) is an individual physician assistant in Boulder, Colorado, licensed in Michigan (5601011988) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1982459707
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMCKENNA GRAHAMCredential: PA-C
Location Address1790 30TH STBoulder, CO 80301-1022
Mailing Address4965 Grover DrBrighton, MI 48116-9755 · (810) 599-6281
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 23, 2024
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
NPI 1982459707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601011988
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1790 30TH ST, Boulder, CO 80301

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

Mckenna Graham Pa-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 ID7517494859
PECOS Enrollment IDI20241226002106
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 80301 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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 16

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

Counselor (Mental Health)
1790 30TH ST, SUITE 440
BOULDER, CO 80301
Counselor (Professional)
1790 30TH ST, SUITE 302
BOULDER, CO 80301
Counselor (Addiction (Substance Use Disorder))
1790 30TH ST, SUITE 245
BOULDER, CO 80301
Internal Medicine
1790 30TH ST, SUITE 120
BOULDER, CO 80301
Chiropractor
1790 30TH ST
BOULDER, CO 80301
Speech-Language Pathologist
1790 30TH ST, SUITE 120
BOULDER, CO 80301
Counselor (Professional)
1790 30TH ST, SUITE 200
BOULDER, CO 80301
Massage Therapist
1790 30TH ST, SUITE #200
BOULDER, CO 80301

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 Mckenna Graham's NPI number?

The NPI number for Mckenna Graham is 1982459707. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Mckenna Graham located?

Mckenna Graham practices at 1790 30th St, Boulder, CO 80301. The listed phone number is (303) 997-1733.

What is Mckenna Graham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mckenna Graham enrolled in Medicare?

Yes. Mckenna 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.

When was this NPI record last updated?

The NPPES record for Mckenna Graham was last updated on December 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.