Active NPI
Rebecca Graves, APRN
- Adult Health Nurse Practitioner
- Neodesha, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 53-75024-082
- Practice address
- 2600 Ottawa Rd
Pob 360
Neodesha, KS 66757-1897 - Phone
- (620) 325-2611
- Fax
- (620) 325-8459
- NPI assigned
- Jan 7, 2016
- Last updated
- Jun 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 53-75024-082 | KS | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 53-75024-082 | KS |
Addresses
Primary practice location
2600 Ottawa Rd
Pob 360
Neodesha, KS 66757-1897
Mailing address
2600 Ottawa Rd
Neodesha, KS 66757-1897
Phone (620) 325-2611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wilson County Hospital
Practice addresses (Care Compare)
2600 Ottawa Rd
Neodesha, KS 66757-1897
Phone (620) 325-2611
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75024-082 | KS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson County Hospital | Current | Accepting new patients | |
| Wilson County Hospital | Current | Accepting new patients | |
| Wilson County Hospital | Current | Accepting new patients | |
| Wilson County Hospital | Current | Accepting new patients |
Locations
2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611
2600 Ottawa Rd
Ste 101
Neodesha, KS 66757
Phone (620) 325-2500
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.
-
- Critical Access Hospital
- Neodesha, KS
- NPI 1669441176
-
dba Wilson Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Neodesha, KS
- NPI 1760407407
-
dba Wilson Medical Center Professional
- Nurse Practitioner
- Neodesha, KS
- NPI 1992842942
-
dba Neodesha Family Medicine
- Rural Health Clinic/Center
- Neodesha, KS
- NPI 1639699309
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fredonia, KS
- NPI 1285634006
-
- Critical Access Hospital
- Neodesha, KS
- NPI 1669441176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1427414416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 OTTAWA RD",
"city": "NEODESHA",
"state": "KS",
"postal_code": "667571897",
"telephone_number": "620-325-2611",
"fax_number": "620-325-8453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 OTTAWA RD",
"address_2": "POB 360",
"city": "NEODESHA",
"state": "KS",
"postal_code": "667571897",
"telephone_number": "620-325-2611",
"fax_number": "620-325-8459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "REBECCA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "53-75024-082",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KS",
"license": "53-75024-082",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neodesha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.