Individual provider Active NPI

Christina J Graham, NP

  • Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1164898201
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP001234 Issued in SD
Practice address
636 Saint Anne St
Rapid City, SD 57701-4694
Phone
(605) 348-8000
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP001234 SD Primary
Nurse Practitioner 363L00000X NP-1612A ID

Addresses

Primary practice location

636 Saint Anne St
Rapid City, SD 57701-4694

Mailing address

636 Saint Anne St
Rapid City, SD 57701-4694
Phone (605) 348-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20171018003516 SD Practitioner - Nurse Practitioner 1254648868 Reassigns benefits to 3 organizations

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
Manlove Psychiatric Group PCGroup PAC ID 8921098138, 11 clinicians

Practice addresses (Care Compare)

636 Saint Anne St
Suite 100
Rapid City, SD 57701-4694
Phone (605) 348-8000

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-1612AIDMDNurse Practitioner
CP001234SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jan 31, 2018 Accepting new patients
Manlove Psychiatric Group, P.C. CurrentSince Dec 9, 2025 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jan 31, 2018 Accepting new patients
Behavior Management Systems, Inc. CurrentSince Feb 15, 2024 Accepting new patients

Locations

636 Saint Anne St
Ste 100
Rapid City, SD 57701
Phone (605) 348-8000

350 Elk St
Rapid City, SD 57701
Phone (605) 343-0650

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000

623 Dahl Rd
Spearfish, SD 57783
Phone (605) 642-2777

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1164898201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 SAINT ANNE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014694",
            "telephone_number": "605-348-8000",
            "fax_number": "605-348-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SAINT ANNE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014694",
            "telephone_number": "605-348-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHRISTINA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001234",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1612A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.