MRS. CYNTHIA K. GRAY (FNP-C) – Nurse Practitioner, NPI 1104879535
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. CYNTHIA K. GRAY (FNP-C)
201 HEALTHCARE DR
GREENVILLE, IL 622461155
Phone: (618) 664-1380
Fax: (618) 664-4239
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 138 Open Payments records for all available years, with a total value of $2,132.
Total Amount is formed as General ($2,132) + Research ($0) + Ownership ($0) = $2,132.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($509).
Total Amount
$2,132
General + Research + Ownership
Payments
138
Total payment records
General Amount
$2,132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $509 |
| AstraZeneca Pharmaceuticals LP | $439 |
| Lilly USA, LLC | $378 |
| Novo Nordisk Inc | $315 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $100 |
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: 2011-03-09
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 |
|---|---|---|---|---|
| I20110309000728 | I | Nurse Practitioner | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62246)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology) | IL | |
| Family Practice | IL | |
| - | IL | |
| Internal Medicine, Cardiac Electrophysiology | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Nurse Practitioner | IL |
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