Individual provider Active NPI

Tara Rae Graf, DNP, FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1649095639
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000298-NP Issued in CO
Practice address
5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223
Phone
(719) 471-2273
NPI assigned
Nov 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.1000298-NP CO Primary

Addresses

Primary practice location

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223

Mailing address

5799 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80917-4223

Other names 1

  • Tara Rae Kettler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241206002910 CO Practitioner - Nurse Practitioner 2365978863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Baylor College of Medicine, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

5799 Stetson Hills Blvd
Suite 100
Colorado Springs, CO 80917-4222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1000298-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince May 9, 2025 Accepting new patients
Comfort Care Family Practice, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Front Range Urgent Care, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Comfort Care Family Practice, Inc. CurrentSince Nov 1, 2024 Accepting new patients
American Current Care P.a. CurrentSince May 9, 2025 Accepting new patients
Front Range Urgent Care, Inc CurrentSince Nov 1, 2024 Accepting new patients
Front Range Urgent Care, Inc. Current Accepting new patients
Comfort Care Family Practice, Inc. Current Accepting new patients
Front Range Urgent Care, Inc. Past Accepting new patients
Comfort Care Family Practice, Inc. Past Accepting new patients

Locations

5799 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80917
Phone (719) 471-2273

6530 S Academy Blvd
Ste 105
Colorado Springs, CO 80906
Phone (719) 471-2273

402 Garden of the Gods Rd
Colorado Springs, CO 80907
Phone (719) 471-2273

5799 Stetson Hills Blvd
Colorado Springs, CO 80917
Phone (719) 471-2273

402 W Bijou St
Colorado Springs, CO 80905
Phone (719) 302-6942

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

6908 Mesa Ridge Pkwy
Fountain, CO 80817
Phone (719) 471-2273

4130 N Freeway Rd
Pueblo, CO 81008
Phone (719) 471-2273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1649095639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5799 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5799 STETSON HILLS BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174223",
            "telephone_number": "719-471-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "TARA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000298-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "KETTLER",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.