Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colleen Marie Graf

Individual provider Registered Nurse · NPI 1679121776

Colleen Marie Graf is a Nurse Practitioner in St Louis Park, Minnesota. Qualified in 2021, 5 years ago. Practices with Optage Inc, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5591 Royal Oaks Dr, Shoreview, MN 55126-8487 — (612) 232-0805

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 8355 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R2243580 (MN)

Record details

NPI number1679121776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2019
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Optage Inc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in St Louis Park