Individual provider Active NPI

Karen A McGraw, F.N.P.

  • Family Nurse Practitioner
  • Laporte, CO
National Provider Identifier
1255574398
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 10019 Issued in CO
Practice address
3817 W County Road 54G
Laporte, CO 80535-9360
Phone
(970) 472-2001
Fax
(970) 212-9336
NPI assigned
Apr 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 10019 CO Primary

Addresses

Primary practice location

3817 W County Road 54G
Laporte, CO 80535-9360

Mailing address

3817 W County Road 54G
Laporte, CO 80535-9360
Phone (970) 472-2001

Other identifiers 1

IdentifierTypeStateIssuer
72875861MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20101207000780 CO Practitioner - Nurse Practitioner 4385831064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP 10019COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Northern Colorado CurrentSince Aug 1, 2023 Accepting new patients
Little Poudre Family Clinic LLC CurrentSince Oct 11, 2020 Accepting new patients

Locations

2804 S Timberline Rd
Fort Collins, CO 80525
Phone (970) 672-4026

Organizations & group practices 2

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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1255574398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 W COUNTY ROAD 54G",
            "city": "LAPORTE",
            "state": "CO",
            "postal_code": "805359360",
            "telephone_number": "970-472-2001",
            "fax_number": "970-212-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 W COUNTY ROAD 54G",
            "city": "LAPORTE",
            "state": "CO",
            "postal_code": "805359360",
            "telephone_number": "970-472-2001",
            "fax_number": "970-212-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP 10019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72875861",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laporte, CO

Sources for this page

Verify at the official NPI Registry.