Individual provider Active NPI

Monica Ann Graves, ARNP

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1285825034
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5038P Issued in KY
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100042870MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071001000274 KY Practitioner - Nurse Practitioner 7911092325 Reassigns benefits to 1 organization
I20110407000713 IN Practitioner - Nurse Practitioner 7911092325 Reassigns benefits to 1 organization

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
Applegate Health Services IncGroup PAC ID 1254751472, 10 clinicians

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

LicenseStateTypeSpecialty
5038PKYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Applegate Health Services, Inc CurrentSince Feb 13, 2025 Accepting new patients
Tabler Clinical Services, PSC PastSince Jun 1, 1992 Accepting new patients
Peaceful Minds Clinical Service PastSince Feb 6, 2022 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.

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

Verify at the official NPI Registry.