JENNIFER GRAVENISH ARNP
NPI 1164093399
Nurse Practitioner - Psychiatric/Mental Health in Emmetsburg, IA
About Jennifer Gravenish Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER GRAVENISH ARNP (NPI 1164093399) is an individual psychiatric/mental health provider in Emmetsburg, Iowa, licensed in Iowa (G166054) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Gravenish Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jennifer Gravenish reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Emmetsburg, IA 50536
- Reassigned Medicare billing, Iowa enrollment
- 26 clinicians in this Medicare group
Cherokee, IA 51012
- Reassigned Medicare billing, Iowa enrollment
Sioux City, IA 51104
- Reassigned Medicare billing, Iowa enrollment
- 281 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Regional Medical Center
Acute Care Hospitals · Sioux City, IAPalo Alto County Hospital
Critical Access Hospitals · Emmetsburg, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EMMETSBURG, IA 50536
EMMETSBURG, IA 50536
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 Jennifer Gravenish's NPI number?
The NPI number for Jennifer Gravenish is 1164093399. It was assigned to this individual provider in the NPPES registry on July 8, 2021.
Where is Jennifer Gravenish located?
Jennifer Gravenish practices at 3201 1st St, Emmetsburg, IA 50536. The listed phone number is (712) 221-0684.
What is Jennifer Gravenish's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jennifer Gravenish enrolled in Medicare?
Yes. Jennifer Gravenish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jennifer Gravenish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gravenish reassigns Medicare benefits to 3 organizations: Palo Alto County Hospital (Emmetsburg, IA), Mindful Key PLLC (Cherokee, IA) and Northwest Iowa Hospital Corporation (Sioux City, IA). Each 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 Jennifer Gravenish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Gravenish accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Jennifer Gravenish 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.
Is Jennifer Gravenish affiliated with any hospitals?
According to CMS data, Jennifer Gravenish is affiliated with St Lukes Regional Medical Center and Palo Alto County Hospital.
When was this NPI record last updated?
The NPPES record for Jennifer Gravenish was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jennifer Gravenish, ARNP · NPI 1164093399
Psychiatric/Mental Health physician in Emmetsburg, Iowa. Individual provider, active in the CMS NPPES registry since July 8, 2021.
## Identity
- **NPI:** 1164093399 (Entity type: Individual)
- **Enumerated:** July 8, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** G166054 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 3201 1ST ST, Emmetsburg, IA 50536-2516
- **Phone:** (712) 221-0684
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Palo Alto County Hospital (NPI 1184634602, Emmetsburg, IA); Mindful Key PLLC (NPI 1053176644, Cherokee, IA); Northwest Iowa Hospital Corporation (NPI 1215962550, Sioux City, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 20, 2022
- **Other identifiers:** Other G166054 (IA); Other 141312 (IA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1164093399) · Data from the CMS NPPES public registry.