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

Kathleen Powers Graham, NP-C

Individual provider Gerontology Nurse Practitioner · NPI 1407100357

Kathleen Powers Graham, NP-C is a Nurse Practitioner in Plymouth, Minnesota. Qualified in 2012, 14 years ago. Practices with Mngi Digestive Health PA, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

15700 37th Ave N Ste 300
Plymouth, MN 55446-3661
Phone: (612) 871-1145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence A0712144 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence G0712013 (MN)

Record details

NPI number1407100357
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 30, 2012
Last updated in NPPESApril 24, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mngi Digestive Health Pa — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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