JENNIFER GRAVENISH (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164093399
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
Provider Addresses for JENNIFER GRAVENISH (ARNP)
930 W BLUFF ST
CHEROKEE, IA 510121531
Phone:
Type: Mailing
3201 1ST ST
EMMETSBURG, IA 505362516
Phone: (712) 221-0684
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211213001495 | I | Nurse Practitioner | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 279 | 115 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 26 | 26 | $0 |
Insurance plans in this area (ZIP 51012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KS | |
| Interventional Radiology | SD | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| P S Y C H I A T R Y | CO | |
| A N E S T H E S I O L O G Y | FL | |
| - | IA | |
| Pulmonary Disease, Internal Medicine | TX | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | IA | |
| Nurse Practitioner | IA |
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