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

Susan Graham, PA

Individual provider Surgical Physician Assistant · NPI 1043307192

Susan Graham, PA is a Physician Assistant in Longmont, Colorado. Qualified in 2003, 23 years ago. Practices with Rocky Mountain Clinics LLC, a 49-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
23
Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1308 Vivian St
Longmont, CO 80501-3217
Phone: (800) 628-7828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1819 (CO)

Record details

NPI number1043307192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 9, 2006
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Rocky Mountain Clinics Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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