Individual provider Active NPI

Holly Dawn Graves, APRN

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1083085898
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76970 Issued in KS
Practice address
3252 E Douglas Ave Ste 101
Wichita, KS 67208-3354
Phone
(316) 687-3275
Fax
(833) 907-2276
NPI assigned
Oct 19, 2015
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11017419 FL
Family Nurse Practitioner 363LF0000X 53-76970 KS Primary

Addresses

Primary practice location

3252 E Douglas Ave Ste 101
Wichita, KS 67208-3354

Mailing address

3252 E Douglas Ave Ste 101
Wichita, KS 67208-3354
Phone (316) 687-3275

Other practice location 1

1394 John Sims Pkwy E
Niceville, FL 32578-2208
Phone (850) 517-1920

Other practice location 2

3560 N Maize Rd Ste 106
Wichita, KS 67205-7393
Phone (316) 687-3275

Other practice location 3

1821 E Madison Ave Ste 1100
Derby, KS 67037-2300
Phone (316) 669-8082

Other names 1

  • Holly Dawn Wilt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110001303 KS Practitioner - Nurse Practitioner 1557671229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Women's Group at Wesley LLCGroup PAC ID 5698968881, 8 clinicians

Practice addresses (Care Compare)

551 N Hillside St
Suite 101
Wichita, KS 67214-4924
Phone 31685871004923

Merit-based Incentive Payment System (MIPS)

Final score
71.83 of 100Reported as group
Quality
61.85
Improvement activities
40
Cost
76.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11017419FLMDFamily Nurse Practitioner
53-76970KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Girl Clinics LLC CurrentSince Jun 2, 2025 Accepting new patients
Pearl OBGYN LLC CurrentSince Jun 2, 2025 Accepting new patients
Neurology Associates of Kansas LLC CurrentSince Sep 25, 2023 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
Wesley Physician Services LLC PastSince Dec 15, 2025 Accepting new patients

Locations

1821 E Madison Ave
Ste 1100
Derby, KS 67037
Phone (316) 669-8082

2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690

3243 E Murdock St
Ste 401
Wichita, KS 67208
Phone (316) 682-5544

3252 E Douglas Ave
Ste 101
Wichita, KS 67208
Phone (316) 687-3275

3560 N Maize Rd
Ste 106
Wichita, KS 67205
Phone (316) 669-3851

3560 N Maize Rd
Ste 106A
Wichita, KS 67205

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

Interoperability endpoints

  • Direct secure messaging: holly.graves.1@24005.direct.athenahealth.com
  • Direct secure messaging: holly.graves@hca3.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/24005/brand/2/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1083085898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 E DOUGLAS AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083354",
            "telephone_number": "316-687-3275",
            "fax_number": "833-907-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 E DOUGLAS AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083354",
            "telephone_number": "316-687-3275",
            "fax_number": "833-907-2276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1394 John Sims Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325782208",
            "country_code": "US",
            "telephone_number": "850-517-1920",
            "fax_number": "850-517-1950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3560 N Maize Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672057393",
            "country_code": "US",
            "telephone_number": "316-687-3275",
            "fax_number": "833-907-2276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 E Madison Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670372300",
            "country_code": "US",
            "telephone_number": "316-669-8082",
            "fax_number": "316-669-9688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "HOLLY",
        "middle_name": "DAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017419",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "WILT",
            "middle_name": "DAWN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.