MS. JESSICA LYNN BRAY (ANP-C) – Nurse Practitioner, NPI 1104590751

MS. JESSICA LYNN BRAY (ANP-C) is a healthcare provider. based in Wasilla, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP-C. They hold a License No. 182046 (AK). The NPI Number for MS. JESSICA LYNN BRAY (ANP-C) is 1104590751

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. JESSICA LYNN BRAY (ANP-C)
NPI
1104590751
Phone
(406) 781-3603
Address
3133 E WHISPERING WOODS DR
Enumeration Date
6 August 2021
Last Update Date
5 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075628346
Graduation Year
2021 (5 years ago)
PAC ID
4688072234
Group Practice PAC ID
2567610181
Professional Enrollment ID
I20211012001511
Address ID
AK995085300AN4001XSTXX302

Contacts

Secure Messaging
jessica.bray.1@2839.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

761 NURSE PRACTITIONER in AK

Provider Addresses for MS. JESSICA LYNN BRAY (ANP-C)

  • 3133 E WHISPERING WOODS DR

    WASILLA, AK 996547467

    Phone: (406) 781-3603

    Type: Mailing

  • 2490 S WOODWORTH LOOP STE 200

    PALMER, AK 996457410

    Phone: (907) 861-6700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $2,893.

Total Amount is formed as General ($2,893) + Research ($0) + Ownership ($0) = $2,893.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Inari Medical, Inc. ($2,230).

Total Amount

$2,893

General + Research + Ownership

Payments

34

Total payment records

General Amount

$2,893

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-10-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211012001511INurse PractitionerAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes175114$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report157117$0
99213Established patient office or other outpatient visit, 20-29 minutes10576$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician9493$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician9291$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567610181View full group profile
NameSpecialtyState
Physician AssistantAK
Vascular SurgeryMD
Vascular SurgeryAL
Nurse PractitionerAK
General Surgery, Vascular SurgeryAK
Nurse PractitionerAK

Reviews

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Frequently asked questions

Is MS. JESSICA LYNN BRAY (ANP-C) listed with a National Provider Identifier?
Yes — MS. JESSICA LYNN BRAY (ANP-C) has NPI 1104590751 on file in the registry.
Is MS. JESSICA LYNN BRAY (ANP-C) shown as active in public data?
Registry records indicate MS. JESSICA LYNN BRAY (ANP-C) maintains an active NPI.
What clinical focus is listed for MS. JESSICA LYNN BRAY (ANP-C)?
At a glance, MS. JESSICA LYNN BRAY (ANP-C) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. JESSICA LYNN BRAY (ANP-C)?
Directory geography for MS. JESSICA LYNN BRAY (ANP-C) centers on Wasilla, Alaska.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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