Individual provider Active NPI

Rebecca Graves, APRN

  • Adult Health Nurse Practitioner
  • Neodesha, KS
National Provider Identifier
1427414416
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
53-75024-082 Issued in KS
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160607002146 KS Practitioner - Nurse Practitioner 5092005892 Reassigns benefits to 3 organizations

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 HospitalGroup PAC ID 0042273971, shared by 4 NPIs, 10 clinicians

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

LicenseStateTypeSpecialty
53-75024-082KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson County Hospital CurrentSince Jun 1, 2016 Accepting new patients
Wilson County Hospital Current Accepting new patients
Wilson County Hospital Current Accepting new patients
Wilson County Hospital CurrentSince Jun 1, 2016 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.