Individual provider Active NPI

Julie A Graham, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jefferson City, MO
National Provider Identifier
1649243619
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
142186 Issued in MO
Practice address
2505 Mission Dr Ste 320
Jefferson City, MO 65109-9508
Phone
(573) 681-3249
Fax
(573) 681-3679
NPI assigned
Feb 9, 2006
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 142186 MO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G095717 IA

Addresses

Primary practice location

2505 Mission Dr Ste 320
Jefferson City, MO 65109-9508

Mailing address

1706 W Agency Rd
West Burlington, IA 52655-1667
Phone (319) 768-5858

Other practice location 1

1618 Main St
Keokuk, IA 52632-3928
Phone (319) 524-5734

Other practice location 2

400 N 17th St
Keokuk, IA 52632-3452
Phone (319) 524-5734

Other identifiers 1

IdentifierTypeStateIssuer
429098114MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA2 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
I20040914001052 MO Practitioner - Nurse Practitioner 5698742120
I20160909002189 IA Practitioner - Nurse Practitioner 5698742120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillcrest Family ServicesGroup PAC ID 1557274743, 15 clinicians
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians

Practice addresses (Care Compare)

106 N Jackson St
Henry Mental HLTH Ctr
Mt Pleasant, IA 52641-2047
Phone (319) 385-7177

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3249

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142186MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Family Services Current Accepting new patients
SSM Regional Health Services CurrentSince Jul 1, 2026 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Sep 1, 2024 Accepting new patients
Hillcrest Family Services CurrentSince Sep 1, 2025 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Sep 1, 2024 Accepting new patients
Hillcrest Family Services Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
SSM Regional Health Services PastSince Jul 1, 2026 Accepting new patients

Locations

200 Mercy Dr
Ste 200
Dubuque, IA 52001
Phone (563) 582-0145

2005 Asbury Rd
Dubuque, IA 52001
Phone (563) 583-7357

115 S Olive St
Maquoketa, IA 52060
Phone (319) 652-4958

106 N Jackson St
Mt Pleasant, IA 52641
Phone (319) 385-7177

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

1817 1st Ave E
Newton, IA 50208
Phone (641) 658-9008

Organizations & group practices 7

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 3

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1649243619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W AGENCY RD",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551667",
            "telephone_number": "319-768-5858",
            "fax_number": "319-752-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MISSION DR STE 320",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651099508",
            "telephone_number": "573-681-3249",
            "fax_number": "573-681-3679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1618 Main St",
            "address_purpose": "LOCATION",
            "city": "Keokuk",
            "state": "IA",
            "postal_code": "526323928",
            "country_code": "US",
            "telephone_number": "319-524-5734",
            "fax_number": "319-524-5758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N 17th St",
            "address_purpose": "LOCATION",
            "city": "Keokuk",
            "state": "IA",
            "postal_code": "526323452",
            "country_code": "US",
            "telephone_number": "319-524-5734",
            "fax_number": "319-524-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "142186",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G095717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429098114",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.