NPPES file of Aug 9, 2026

Heather Graham

Nurse Practitioner · Edgewood, KY

Heather Graham is a nurse practitioner with a practice address in Edgewood, Kentucky, and NPI 1245668557, issued on Oct 23, 2013. Check the license (Kentucky 3010256, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1245668557
Name
Heather Graham
Primary taxonomy
Nurse Practitioner 363L00000X
License numbers
3010256 KY
COA.15192NP OH
Self-reported in NPPES; status is on the state search
Practice location
1 Medical Village Dr, Edgewood, KY 41017
Phone
(859) 301-2250
Enumerated
Oct 23, 2013
Record last updated
Jun 2, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(859) 572-2326
Medicaid ID
7100347370 KY
Medicare enrollment
Enrolled (PECOS I20170630001664); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1 Medical Village Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joshua Abell, MDEmergency Medicine Physician1578983508
  2. Adrian AcostaHospitalist Physician1609436070
  3. Braxton Adkins, M.D.Anesthesiology Physician1780115253
  4. Jordan Adler, M.D.Hospitalist Physician1255711800
  5. Masroor Alam, MDAnesthesiology Physician1720069388
  6. Sajen Alexander, DOAnesthesiology Physician1992265466

Verify Heather Graham in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
    Search for license 3010256
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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81% fewer Medicare Part D claims than the average nurse practitioner in 2024

216 Medicare Part D claims for 146 beneficiaries, against an average of 1,109 among the 54,319 providers of this specialty who prescribed in Part D. 34 claims were for opioids.

  1. Heather Graham216
  2. Specialty average1,109

Most prescribed

  1. Prednisone39 claims
  2. Ondansetron Odt23 claims
  3. Hydrocodone-Acetaminophen21 claims
  4. Cephalexin14 claims
  5. Amoxicillin-Clavulanate Potass11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 92.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $28.26

1 payment: food and beverage; the largest payer was Progenics Pharmaceuticals, Inc. The 38,884 providers of this specialty with any payment received $791.64 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Heather Graham$28.26
  2. Specialty average$791.64

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Compass Emergency Physicians PscEdgewood, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Heather Graham among 1,830 nurse practitioner records in Kentucky

Heather Graham is one of 1,830 nurse practitioner records with a practice address in Kentucky. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 42% of them.

  • NPI issued2013 · 42% of these records are older, 54% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2015 · median 2015 among the 1,220 with a school on file
  • Record last updated2021 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363L00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

172 nurse practitioner records list a practice address in Edgewood

They are 172 of the 1,159 NPPES records with a practice address in Edgewood, and 1,830 nurse practitioner records in Kentucky.

The 8 nurse practitioner records with the nearest ZIP codes

  1. Perry Bohanon, MSN, APRN, BCEdgewood, KY 410171467437178
  2. Maureen Dwyer, DNSCEdgewood, KY 410171114927704
  3. Theresa Furnish, ARNPCrestview Hills, KY 410171518966936
  4. Lisa Gergen, APRNEdgewood, KY 410171497748263
  5. Shawn Jager, ARNPCrestview Hills, KY 410171992700108
  6. Marla Johnson, APRNEdgewood, KY 410171104821982
  7. Mary Kaiser, ARNPEdgewood, KY 410171821081571
  8. Jennifer Malmstrom, ARNPCrestview Hills, KY 410171275532624

Common questions

What is Heather Graham's NPI number?

Heather Graham's National Provider Identifier (NPI) is 1245668557, issued on Oct 23, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Heather Graham located?

The NPPES record lists a practice address at 1 Medical Village Dr, Edgewood, KY, 41017. Phone: (859) 301-2250. Providers update this record themselves, so call before visiting.

How can I verify Heather Graham's license?

NPPES lists Kentucky license number 3010256, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.

How much does Heather Graham prescribe under Medicare Part D?

In 2024, Heather Graham had 216 Medicare Part D claims for 146 beneficiaries; the average among nurse practitioner prescribers was 1,109. Part D covers Medicare prescriptions only.

What is Heather Graham's MIPS final score?

The 2023 MIPS final score is 92.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.