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: July 19, 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
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

Accepted 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.

Nurse Practitioner (Pediatrics)
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Pediatrics
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Pediatrics
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Registered Nurse
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Pediatrics
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345
Pediatrics
17705 HUTCHINS DR STE 101
MINNETONKA, MN 55345

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104074434, enumerated as an "individual" on August 28, 2008.

The provider is located at 17705 HUTCHINS DR STE 101 MINNETONKA, MN 55345 and the phone number is (952) 401-8300.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.