Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043307192 Individual Practitioner Female Practitioner

Susan Graham , PA

Physician Assistant • Longmont, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Susan Graham, PA is a certified Physician Assistant practicing in Longmont, CO. With approximately 23 years of clinical experience since completing medical education in 2003, Susan Graham delivers high-quality medical care to the local community at 1308 VIVIAN ST.

Susan Graham is affiliated with Rocky Mountain Clinics Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1308 Vivian St

Longmont, CO 805013217

Telephone 8006287828
Associated Practice Facility / Clinic
🏢 Haleh Nekoorad-Long,m.d.,p.c. Facility NPI 1609047430

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longmont, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +10.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
92 Specialists

Practicing in Longmont, CO (3810 Statewide)

Telehealth Adoption Rate
21.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graham (23 Years) 23 Yrs
Longmont Specialty Average (12.5 Years) 12.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License CO 1819

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
51153203 (CO)

Hospital & Practice Group Affiliations

Rocky Mountain Clinics Llc

1120 E Elizabeth St, Fort Collins, CO 805244044

Phone: 9704939193

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kevin Law , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003683111

Psychiatric-Mental Health Nurse Practitioner

Christa Konyndyk , APRN

Nurse Practitioner - Family

NPI 1720979297

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 22, 2025

Registered at 1308 VIVIAN ST, LONGMONT, CO 805013217 (Tel: 8006287828)

📍
Updated Business Mailing Address April 22, 2025

Registered at 1120 E ELIZABETH ST STE 2, FORT COLLINS, CO 805244044 (Tel: 9704939193)

NPI Profile Active February 04, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2011

Registered at 13123 E 16TH AVE, AURORA, CO 800457106 (Tel: 7207771234)

📍
Updated Business Mailing Address February 04, 2011

Registered at PO BOX 876, AURORA, CO 800400876 (Tel: 3034937000)

👤
Provider Name / Credentials Updated February 04, 2011

Recorded as SUSAN GRAHAM, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2011

Physician Assistant (License #1819 in CO)

🟢
Initial NPI Registration & Enumeration October 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043307192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2006
Last Update: April 22, 2025
Sole Proprietor: No

Mailing Address

1120 E Elizabeth St Ste 2

Fort Collins, CO 805244044

Phone: 9704939193

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.