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KATHLEEN GRADOVILLE ARNP
NPI 1285626390
Nurse Practitioner - Pediatrics in Des Moines, IA

Active since August 16, 2005PECOS Enrolled
1212 PLEASANT ST, SUITE 204, DES MOINES, IA 50309(515) 241-6548(515) 241-8789 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Gradoville Arnp NPPES

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

KATHLEEN GRADOVILLE ARNP (NPI 1285626390) is an individual pediatrics provider in Des Moines, Iowa, licensed in Iowa (C81143) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285626390
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN GRADOVILLECredential: ARNP
Location Address1212 PLEASANT ST, SUITE 204Des Moines, IA 50309-1453
Mailing Address1212 Pleasant St, Suite 204Des Moines, IA 50309-1453 · (515) 241-6548 · Fax (515) 241-8789
Phone(515) 241-6548
Fax(515) 241-8789
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateNovember 18, 2011
✔ NPI 1285626390 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 IA · C81143
1212 PLEASANT ST, Des Moines, IA 50309
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Other Names 1

Former Name (1)Kathleen Evoy

Other Identifiers 4

Medicare UPINS57432
Other17515013IA · Medicare
Medicaid1285626390IA
Medicaid1285626390MO

Accepted Insurance

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

Kathleen Gradoville Arnp 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 50309 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 20

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

DR. CHRISTOPHER TATE MILLER O.D.
Optometrist
1212 PLEASANT ST, SUITE 202
DES MOINES, IA 50309
Polk County (515) 244-3937
KEN L CHEYNE MD
Pediatrics (Adolescent Medicine)
1212 PLEASANT ST, SUITE 406
DES MOINES, IA 50309
Polk County (515) 241-8336
ERIC D HAUGEN MD
Pediatrics
1212 PLEASANT ST, SUITE 300
DES MOINES, IA 50309
Polk County (515) 241-8923
DR. RICHARD SIDWELL MD
Surgery
1212 PLEASANT ST, SUITE 211
DES MOINES, IA 50309
Polk County (515) 875-9770
PAUL GISI MD FACOG
Obstetrics & Gynecology
1212 PLEASANT ST, STE 405
DES MOINES, IA 50309
Polk County (515) 243-8842
VAUN W DEJONG DO
Obstetrics & Gynecology
1212 PLEASANT ST, SUITE 405
DES MOINES, IA 50309
Polk County (515) 243-8842
BRENDA K. PEDERSEN BSOT, OTR/L, CHT
Occupational Therapist
1212 PLEASANT ST, SUITE 300
DES MOINES, IA 50309
Polk County (515) 471-9292
BARBARA A BEATTY MD
Obstetrics & Gynecology
1212 PLEASANT ST, SUITE 405
DES MOINES, IA 50309
Polk County (515) 243-8842

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 Kathleen Gradoville's NPI number?

The NPI number for Kathleen Gradoville is 1285626390. It was assigned to this individual provider in the NPPES registry on August 16, 2005. The provider is also known as Kathleen Evoy.

Where is Kathleen Gradoville located?

Kathleen Gradoville practices at 1212 Pleasant St Suite 204, Des Moines, IA 50309. The listed phone number is (515) 241-6548.

What is Kathleen Gradoville's specialty?

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

Is Kathleen Gradoville enrolled in Medicare?

Yes. Kathleen Gradoville is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Gradoville accept?

Health plans from Medica list Kathleen Gradoville 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 Kathleen Gradoville was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.