Active NPI
Kaitlyn Grausam, DNP, APRN, CNP
- Gerontology Nurse Practitioner
- Richfield, MN
National Provider Identifier
1730892944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 9570
- Practice address
- 7333 Blaisdell Ave
Richfield, MN 55423-3115 - Phone
- (612) 240-1917
- NPI assigned
- Jan 3, 2023
- Last updated
- Dec 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9570 | MN | |
| Adult Health Nurse Practitioner | 363LA2200X | 9570 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | 9570 | MN | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 9570 | MN |
Addresses
Primary practice location
7333 Blaisdell Ave
Richfield, MN 55423-3115
Mailing address
7333 Blaisdell Ave
Richfield, MN 55423-3115
Phone (612) 240-1917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241203003907 | MN | Practitioner - Nurse Practitioner | 7618349309 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
270 Main St N
Suite 300
Stillwater, MN 55082-6788
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9570 | MN | MD | Speech-Language Pathologist |
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Brighton Hospice
- Community Based Hospice Care Agency
- St Louis Park, MN
- NPI 1891118931
-
- Community Based Hospice Care Agency
- Ramsey, MN
- NPI 1902567647
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
dba University of MN Medical Center, Fairview Transitional Care
- Skilled Nursing Facility
- Minneapolis, MN
- NPI 1669459913
Hospital
-
- Home Health Agency
- Roseville, MN
- NPI 1285737460
-
- Community Based Hospice Care Agency
- Lakeville, MN
- NPI 1891066239
-
dba Aveanna Home Health
- Home Health Agency
- Edina, MN
- NPI 1972500478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1730892944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7333 BLAISDELL AVE",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554233115",
"telephone_number": "612-240-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7333 BLAISDELL AVE",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554233115",
"telephone_number": "612-240-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUSAM",
"first_name": "KAITLYN",
"credential": "DNP, APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "9570",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MN",
"license": "9570",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "9570",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "9570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richfield, MN
- Gopher (Richfield) TRS LLC (Havenwood of Richfield)
- Ryan Lee Gordon, DDS MS
- Grace Home Health Care
- Grand St Paul CVS LLC (CVS Pharmacy #17368)
- Grand St Paul CVS LLC (CVS Pharmacy # 02152)
- Jasmyne Dawn Green
- Timothy Marvin Gregory, LADC, LPCC, CAMS-II
- David William Groth, M.D.
- Marie A Guillaume
- Jennifer Lynd Mosey Gustafson, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.