Active NPI
Kristen Graham, PA-C
- Physician Assistant
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008150
- Practice address
- 601 John St # 74
Kalamazoo, MI 49007-5341 - Phone
- (269) 341-8481
- Fax
- (269) 341-7781
- NPI assigned
- Mar 2, 2017
- Last updated
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008150 | MI | Primary |
Addresses
Primary practice location
601 John St # 74
Kalamazoo, MI 49007-5341
Mailing address
235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 840-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kgraham170063@direct.covenanthealthcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 242-0422
235 Wealthy St SE FL
5 Mary Free Bed Skilled Nursing
Grand Rapids, MI 49503-5247
Phone (616) 840-8162
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.43 of 100
- Quality
- 75.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Lakeview Hospital | Medical | Current | Accepting new patients |
| Bronson Methodist Hospital | Physician Assistant | Current | Accepting new patients |
| Patholgy Services of Kalamazoo, PC | Current | Accepting new patients | |
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients | |
| Diagnostic Pathology Services of Southwest Michigan PC | Current | Accepting new patients | |
| Mary Free Bed Rehabiltation Hospital | Current | Accepting new patients |
Locations
235 Wealthy St SE
Grand Rapids, MI 49503
Phone (616) 242-0422
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806
601 John St
#74
Kalamazoo, MI 49007
Phone (269) 341-8481
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
Interoperability endpoints
- kgraham170063@direct.covenanthealthcare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
-
dba Bronson Medical Group
- Internal Medicine Physician
- Paw Paw, MI
- NPI 1235131137
Medical
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
Physician Assistant
-
dba Bronson LakeView Family Care-Blue Star
- Rural Health Clinic/Center
- South Haven, MI
- NPI 1801538871
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1912241597
-
dba Mary Free Bed Rehabilitation Hospital
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1932372919
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1548243595
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1073053559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 WEALTHY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495035247",
"telephone_number": "616-840-8000",
"fax_number": "616-840-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST # 74",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-8481",
"fax_number": "269-341-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "KRISTEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-02",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008150",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kgraham170063@direct.covenanthealthcare.com",
"affiliation": "N",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.