NPIMap

Individual provider Active NPI

Elizabeth J Gravley, M.D.

  • Family Medicine Physician
  • Webster, SD
National Provider Identifier
1659375137
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4465 Issued in SD
Practice address
101 Peabody Dr
Webster, SD 57274-1061
Phone
(605) 345-4141
Fax
(605) 345-4135
NPI assigned
Jun 13, 2005
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4465 SD Primary

Addresses

Primary practice location

101 Peabody Dr
Webster, SD 57274-1061

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9556

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address egravley5020@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001591 SD Practitioner - Family Practice 4284622804 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

101 Peabody Dr
Webster, SD 57274-1061
Phone (605) 226-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4465SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Family Medicine Current Accepting new patients
Sanford Health Network CurrentSince Sep 1, 2000 Accepting new patients
Sanford Health Network Family Medicine CurrentSince Sep 1, 2000 Accepting new patients
Sanford Health Network Current Accepting new patients
Strand-Kjorsvig Community Rest Home Past Accepting new patients
Sun Dial Manor Inc Past Accepting new patients
Sanford Health Network Family Medicine Past Accepting new patients

Locations

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

101 Peabody Dr
Webster, SD 57274
Phone (605) 226-5500

101 Peabody Dr
Ste 1
Webster, SD 57274
Phone (605) 345-3396

101 Peabody Dr
Ste 101
Webster, SD 57274
Phone (605) 345-4141

Interoperability endpoints

  • Direct secure messaging: egravley5020@direct.sanfordhealth.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bethesda HomeWebster, SD, CCN 435071 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Apr 17, 2026
Sanford Webster Medical CenterBristol, SD, CCN 435093 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2025
Jul 1, 2000

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1659375137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9556",
            "fax_number": "605-328-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PEABODY DR",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "572741061",
            "telephone_number": "605-345-4141",
            "fax_number": "605-345-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVLEY",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egravley5020@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "101 Peabody Dr",
            "city": "Webster",
            "state": "SD",
            "country_code": "US",
            "postal_code": "572741061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, SD

Sources for this page

Verify at the official NPI Registry.