NPIMap

Organization Active NPI

Beacon Wound Care PLLC

  • Primary Care Nurse Practitioner
  • Lone Tree, CO
National Provider Identifier
1790639177
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
BEACON WOUND CARE PLLC
Practice address
9220 Teddy LN Ste 2000E
Lone Tree, CO 80124-6740
Phone
(303) 351-1410
Fax
(303) 590-3230
NPI assigned
Feb 23, 2026
Last updated
Mar 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BEACON WOUND CARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Jennifer Leigh Graff, AGPCNP-BCNPI 1558722264
Title
Ceo
Phone
(303) 351-1410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X Primary

Addresses

Primary practice location

9220 Teddy LN Ste 2000E
Lone Tree, CO 80124-6740

Mailing address

9220 Teddy LN Ste 2000E
Lone Tree, CO 80124-6740
Phone (303) 351-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250124001094 CO Part B Supplier - Clinic/Group Practice 5991234668 Receives reassigned benefits from 3 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO; Denver, CO; Highlands Ranch, CO; Lone Tree, CO

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Beacon Wound Care PLLC5 organizations share this tax ID, including this one
Part of
Beacon Wound Care PLLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9220 Teddy Ln
Ste 2000E
Lone Tree, CO 80124
Phone (303) 351-1410

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1790639177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 TEDDY LN STE 2000E",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246740",
            "telephone_number": "303-351-1410",
            "fax_number": "303-590-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 TEDDY LN STE 2000E",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801246740",
            "telephone_number": "303-351-1410",
            "fax_number": "303-590-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON WOUND CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON WOUND CARE PLLC",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-351-1410",
        "authorized_official_credential": "AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.