Active NPI
Monica Ann Graves, ARNP
- Adult Health Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5038P
- Practice address
- 4010 Dupont Circle
Suite 565
Louisville, KY 40207-4888 - Phone
- (502) 895-1611
- Fax
- (502) 895-1633
- NPI assigned
- Aug 7, 2007
- Last updated
- Apr 16, 2014
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5038P | KY | Primary |
Addresses
Primary practice location
4010 Dupont Circle
Suite 565
Louisville, KY 40207-4888
Mailing address
4010 Dupont Circle
Suite 565
Louisville, KY 40207-4888
Phone (502) 895-1611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100042870 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11518 Main St
Louisville, KY 40243-1316
Phone (502) 445-6325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5038P | KY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applegate Health Services, Inc | Current | Accepting new patients | |
| Tabler Clinical Services, PSC | Past | Accepting new patients | |
| Peaceful Minds Clinical Service | Past | Accepting new patients |
Locations
1649 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 232-2482
11518 Main St
Middletown, KY 40243
Phone (502) 445-6235
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1285825034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 DUPONT CIRCLE",
"address_2": "SUITE 565",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074888",
"telephone_number": "502-895-1611",
"fax_number": "502-895-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 DUPONT CIRCLE",
"address_2": "SUITE 565",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074888",
"telephone_number": "502-895-1611",
"fax_number": "502-895-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "MONICA",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "5038P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100042870",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.