Jennifer Gravenish, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G166054 Issued in IA

Practice address

3201 1St St
Emmetsburg, IA 50536-2516

Phone

(712) 221-0684

NPI assigned

Jul 8, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northwest Iowa Hospital CorporationGroup PAC ID 0749198026, 139 clinicians

Palo Alto County HospitalGroup PAC ID 4486563061, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
• Palo Alto County Hospital Hospital, Emmetsburg, IA, CCN 161357

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgravenish216511@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Key PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cherokee, IA
  • NPI 1053176644

  IA, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Northwest Iowa Hospital Corporation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550

  IA

  Medicare reassignment Care Compare group NPD
• Palo Alto County Hospital

  • Emergency Medicine Physician
  • Emmetsburg, IA
  • NPI 1184634602

  IA

  Medicare reassignment Care Compare group NPD
• Palo Alto County Hospital

  • Rural Health Clinic/Center
  • Graettinger, IA
  • NPI 1811063795
  Care Compare group NPD
• Northwest Iowa Hospital Corporation

  • Skilled Nursing Facility
  • Sioux City, IA
  • NPI 1194610253
  Care Compare group
• Northwest Iowa Hospital Corporation

  • Rehabilitation Hospital Unit
  • Sioux City, IA
  • NPI 1770675431
  Care Compare group
• Northwest Iowa Hospital Corporation

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare group
• Palo Alto County Hospital

  • Community Based Hospice Care Agency
  • Emmetsburg, IA
  • NPI 1598869232
  Care Compare group
• Palo Alto County Hospital

  • Rural Health Clinic/Center
  • Emmetsburg, IA
  • NPI 1639243116
  Care Compare group
• Palo Alto County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Emmetsburg, IA
  • NPI 1720099831
  Care Compare group
• Palo Alto County Hospital

  • Critical Access Hospital
  • Emmetsburg, IA
  • NPI 1790793651
  Care Compare group
• Palo Alto County Hospital

  • Rural Health Clinic/Center
  • West Bend, IA
  • NPI 1962572776
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Iowa Hospital Corporation

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622

  Hospital

  Care Compare affiliation
• Palo Alto County Hospital

  • Critical Access Hospital
  • Emmetsburg, IA
  • NPI 1790793651

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1164093399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W BLUFF ST",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 1ST ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362516",
            "telephone_number": "712-221-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVENISH",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "141312",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G166054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER",
            "identifier": "G166054",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "141312",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmetsburg Ia Skilled Nursing Facility, LLC
• Emmetsburg Ia Skilled Nursing Facility, LLC
• Emmetsburg Ia Skilled Nursing Facility, LLC
• Jade Anne Frederick
• Thomas Jude Getta, MD
• Handeland Chiropractic 2 LLC
• Handeland Chiropractic Clinic P.C.
• Michael Steven Handeland, DC
• Shawn Michael Handeland, D.C.
• Jordyn Marie Harman, CNP

• All providers in Emmetsburg, IA
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.