Individual provider Active NPI

Kathryn Grahs

  • Family Nurse Practitioner
  • Normal, IL
National Provider Identifier
1730549510
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209013965 Issued in IL
Practice address
1302 Franklin Ave Ste 4500
Normal, IL 61761
Phone
(309) 556-8300
Fax
(309) 556-8293
NPI assigned
Mar 7, 2016
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 209013965 IL Primary

Addresses

Primary practice location

1302 Franklin Ave Ste 4500
Normal, IL 61761

Mailing address

1302 Franklin Ave Ste 4500
Normal, IL 61761-3593
Phone (309) 556-8300

Other practice location 1

5100 Reliable Pkwy
Chicago, IL 60686-0051
Phone (309) 672-5729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160412000805 IL Practitioner - Nurse Practitioner 0941508741 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Home Physicians LLCGroup PAC ID 4981988771, 81 clinicians

Practice addresses (Care Compare)

1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209013965ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems CurrentSince Mar 14, 2016 Accepting new patients
Methodist Medical Center of Illinois Family CurrentSince Mar 14, 2016 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Mar 14, 2016 Accepting new patients
Proctor Health Systems CurrentSince Mar 14, 2016 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
In Home Medical Group LLC Family CurrentSince Sep 20, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 1, 2018 Accepting new patients
Community Home Physicians, LLC CurrentSince Jan 15, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Sep 1, 2018 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

5100 Reliable Pkwy
Chicago, IL 60686
Phone (309) 672-4809

1302 Franklin Ave
Ste 450
Normal, IL 61761
Phone (309) 862-0212

1302 Franklin Ave
Ste 4500
Normal, IL 61761
Phone (309) 556-8300

1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

2222 E State St
Ste 209
Rockford, IL 61104
Phone (815) 988-8500

4215 Newburg Rd
Rockford, IL 61108
Phone (815) 988-8500

Organizations & group practices 11

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": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1730549510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE STE 4500",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613593",
            "telephone_number": "309-556-8300",
            "fax_number": "309-556-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE STE 4500",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-556-8300",
            "fax_number": "309-556-8293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Reliable Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606860051",
            "country_code": "US",
            "telephone_number": "309-672-5729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHS",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.