Individual provider Active NPI

Mary Graham, APRN

  • Nurse Practitioner
  • Mayfield, KY
National Provider Identifier
1417327008
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009756 Issued in KY
Practice address
1099 Medical Center Cir
Mayfield, KY 42066-1159
Phone
(270) 251-4350
NPI assigned
Sep 25, 2015
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3009756 KY Primary

Addresses

Primary practice location

1099 Medical Center Cir
Mayfield, KY 42066-1159

Mailing address

1792 Alysheba Way Ste 150
Lexington, KY 40509-2285
Phone (859) 226-7491

Other practice location 1

366 S Washington St
Clinton, KY 42031-1324
Phone (731) 394-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20151029001767 KY Practitioner - Nurse Practitioner 5597074781 Reassigns benefits to 8 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
Pinelake Physician Practice LLCGroup PAC ID 6800797507, 45 clinicians
Pineville Community Health Center IncGroup PAC ID 5698009157, shared by 4 NPIs, 39 clinicians
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

106 W Clay St
Clinton, KY 42031-1317
Phone (270) 653-0220

850 Riverview Ave
Pineville, KY 40977-1452
Phone 6063373051251

867 McGuire Ave
Paducah, KY 42001-4036
Phone (731) 394-1145

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009756KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Jan 20, 2026 Accepting new patients
Pinelake Physician Practice, LLC Current Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Nov 19, 2023 Accepting new patients
Ultra Health Providers III LLC CurrentSince Jan 5, 2026 Accepting new patients
Hospital Medicine Services of Tennessee PC Nurse Practitioner CurrentSince Jul 1, 2016 Accepting new patients
Pinelake Physician Practice, LLC CurrentSince Nov 30, 2019 Accepting new patients
Pinelake Physician Practice, LLC Nurse Practitioner CurrentSince Nov 30, 2019 Accepting new patients
Ultra Health LLC Nurse Practitioner CurrentSince Sep 9, 2025 Accepting new patients

Locations

106 W Clay St
Clinton, KY 42031
Phone (270) 653-0220

366 S Washington St
Clinton, KY 42031
Phone (270) 653-2461

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

446 Mount Holly Ave
Louisville, KY 40206
Phone (502) 897-1646

1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

867 McGuire Ave
Paducah, KY 42001
Phone (270) 442-6168

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1417327008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 ALYSHEBA WAY STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092285",
            "telephone_number": "859-226-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661159",
            "telephone_number": "270-251-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "KY",
            "postal_code": "420311324",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.