MINDFUL KEY PLLC
NPI 1053176644
Nurse Practitioner - Psychiatric/Mental Health in Cherokee, IA

Active since February 14, 2024
930 W BLUFF ST, CHEROKEE, IA 51012(712) 221-0684 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mindful Key Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL KEY PLLC (NPI 1053176644) is a healthcare organization registered as a psychiatric/mental health in Cherokee, Iowa and active in the NPI registry since February 2024. The organization lists Jennifer Gravenish, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1053176644
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFUL KEY PLLC
Location Address930 W BLUFF STCherokee, IA 51012-1531
Mailing Address930 W Bluff StCherokee, IA 51012-1531 · (712) 221-0684
Organization SubpartNo
Authorized OfficialJennifer GravenishOwner/operator · (712) 221-0684
Enumeration DateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1053176644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
930 W BLUFF ST, Cherokee, IA 51012

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Key Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindful Key PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1164093399
3201 1ST ST
Emmetsburg, IA 50536
(712) 221-0684
✔ PECOS✔ Accepts Medicare51 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindful Key PLLC's NPI number?

The NPI number for Mindful Key PLLC is 1053176644. It was assigned to this organization in the NPPES registry on February 14, 2024.

Where is Mindful Key PLLC located?

Mindful Key PLLC is located at 930 W Bluff St, Cherokee, IA 51012. The listed phone number is (712) 221-0684.

What is Mindful Key PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mindful Key PLLC enrolled in Medicare?

Yes. Mindful Key PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Key PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindful Key PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindful Key PLLC was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.