Jessica Laura Graves, PA-C — NPI 1407120066

Jessica Laura Graves, PA-C’s National Provider Identifier is 1407120066. NPPES classifies this as a Type 1 individual record and reports a practice location in Broken Arrow, Oklahoma. The primary taxonomy is Medical Physician Assistant.

Key facts

NPI
1407120066
Entity type
Type 1 individual
NPPES status
Active in the August 10, 2026 snapshot
Practice location
4700 W URBANA ST STE 100
Broken Arrow, Oklahoma 74012
Practice telephone
(539) 281-3101
Primary taxonomy
Medical Physician Assistant (363AM0700X)
Physician Assistants & Advanced Practice Nursing Providers › Physician Assistant › Medical
Additional taxonomies
  • Physician Assistant (363A00000X)
Enumeration date
February 29, 2012
NPPES last update
May 18, 2026
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Jessica Laura Graves, PA-C?

The NPI listed for Jessica Laura Graves, PA-C in the NPPES snapshot is 1407120066. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1407120066 an individual or organization record?

NPPES records NPI 1407120066 as an Entity Type 1 record, which CMS assigns to an individual health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 4700 W URBANA ST STE 100, Broken Arrow, Oklahoma 74012.

What taxonomy codes are listed for this NPI?

2 taxonomy codes are listed. Primary: Medical Physician Assistant (363AM0700X). Additional: Physician Assistant (363A00000X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of May 18, 2026 and an enumeration date of February 29, 2012, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Broken Arrow, Oklahoma NPI directory and the Oklahoma NPI directory.

Other published profiles in Broken Arrow, OK

Up to ten other profiles this site publishes for Broken Arrow, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 43 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.