Andrea Margaret Gravley, CPNP in Minnetonka, MN

Andrea Margaret Gravley, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Minnetonka, Minnesota. Her current practice location is 17705 Hutchins Dr Ste 101, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 401-8300.

Andrea Margaret Gravley is licensed to practice in Minnesota (license number R1574690) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104074434.

Contact Information

	Andrea Margaret Gravley, CPNP
	17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102
	(952) 401-8300
	(952) 401-8373

Map and Direction

Provider's Profile

Full Name	Andrea Margaret Gravley
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	17705 Hutchins Dr Ste 101, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104074434
Provider Enumeration Date: 08/28/2008
Last Update Date: 06/16/2024

Medicare PECOS Information:

PECOS PAC ID: 6608939673
Enrollment ID: I20090116000589

Medical Identifiers

Medical identifiers for Andrea Margaret Gravley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104074434	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R1574690 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrea Margaret Gravley allows following entities to bill medicare on her behalf.

Entity Name	Children's Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Margaret Gravley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Andrea Margaret Gravley, CPNP 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 Ph: (952) 401-8300	Andrea Margaret Gravley, CPNP 17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 Ph: (952) 401-8300

Reviews and Comments

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Andrea Margaret Gravley, CPNP - Medicare Nurse Practitioner in Minnetonka, MN