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

Q: 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.

Q: What is Andrea Gravley's specialty?

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

Q: 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.

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: August 09, 2026.

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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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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