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ANDREA MARGARET GRAVLEY CPNP
NPI 1104074434
Nurse Practitioner - Pediatrics in Minnetonka, MN

Active since August 28, 2008PECOS Enrolled
17705 HUTCHINS DR STE 101, MINNETONKA, MN 55345(952) 401-8300(952) 401-8373 Get Directions Write a Review

NPPES record last updated: June 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrea Margaret Gravley Cpnp NPPES

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

ANDREA MARGARET GRAVLEY CPNP (NPI 1104074434) is an individual pediatrics provider in Minnetonka, Minnesota, licensed in Minnesota (R1574690) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104074434
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameANDREA MARGARET GRAVLEYCredential: CPNP
Location Address17705 HUTCHINS DR STE 101Minnetonka, MN 55345-4102
Mailing Address17705 Hutchins Dr Ste 101Minnetonka, MN 55345-4102 · (952) 401-8300 · Fax (952) 401-8373
Phone(952) 401-8300
Fax(952) 401-8373
Sole ProprietorNo
Enumeration DateAugust 28, 2008
Last NPPES UpdateJune 16, 2024
NPPES CertifiedJune 16, 2024
✔ NPI 1104074434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · R1574690
17705 HUTCHINS DR STE 101, Minnetonka, MN 55345
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Margaret Gravley Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Gravley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Health Care
12 mi
Pediatric Cardiology
2525 CHICAGO AVENUE SOUTH
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 551 clinicians in this Medicare group
NPI 1841738952 (612) 813-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNNEA H PIOTTER PNP
Registered Nurse
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DALE THOMAS DOBRIN M.D.
Pediatrics
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. LAURA MARIE SOLYNTJES MD
Pediatrics
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
DR. JOANNE RENAE HOFFMAN-JECHA M.D.
Pediatrics
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
KATHRYN H SCHAEFER MD
Pediatrics
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300
TAMARA LYNN WHYTE KASMARIK CNP
Nurse Practitioner (Pediatrics)
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Hennepin County (952) 401-8300

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 Andrea Gravley's NPI number?

The NPI number for Andrea Gravley is 1104074434. It was assigned to this individual provider in the NPPES registry on August 28, 2008.

Where is Andrea Gravley located?

Andrea Gravley practices at 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345. The listed phone number is (952) 401-8300.

What is Andrea Gravley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Andrea Gravley enrolled in Medicare?

Yes. Andrea Gravley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Gravley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Gravley reassigns Medicare benefits to Children's Health Care (Minneapolis, MN). The 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 Andrea Gravley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Gravley accept?

Health plans from HealthPartners list Andrea Gravley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Gravley was last updated on June 16, 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.