KATHLEEN GRADOVILLE ARNP
NPI 1285626390
Nurse Practitioner - Pediatrics in Des Moines, IA
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
Specialties & Licenses
Other Names 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Gradoville Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Gradoville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Des Moines, IA 50309
- Reassigned Medicare billing, Iowa enrollment
- 545 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.
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.
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.
DES MOINES, IA 50309
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.
Which organization bills Medicare for Kathleen Gradoville's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Gradoville reassigns Medicare benefits to Central Iowa Hospital Corporation (Des Moines, IA). 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 Kathleen Gradoville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Gradoville accept?
Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. 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.
# Kathleen Gradoville, ARNP · NPI 1285626390
Pediatrics physician in Des Moines, Iowa. Individual provider, active in the CMS NPPES registry since August 16, 2005.
## Identity
- **NPI:** 1285626390 (Entity type: Individual)
- **Enumerated:** August 16, 2005
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** C81143 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1212 PLEASANT ST, SUITE 204, Des Moines, IA 50309-1453
- **Phone:** (515) 241-6548 · **Fax:** (515) 241-8789
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Central Iowa Hospital Corporation (NPI 1598942872, Des Moines, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2011
- **Other identifiers:** Medicare UPIN S57432; Other 17515013 (IA); Medicaid 1285626390 (IA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1285626390) · Data from the CMS NPPES public registry.