KELSEY GRAY – Acute Care Nurse Practitioner, NPI 1952899940

KELSEY GRAY is a healthcare provider. based in Quincy, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209017505 (IL). The NPI Number for KELSEY GRAY is 1952899940

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY GRAY
NPI
1952899940
Phone
(217) 223-1200
Address
1005 BROADWAY ST
Enumeration Date
25 April 2018
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172238400
Graduation Year
2017 (9 years ago)
PAC ID
7416204698
Group Practice PAC ID
3072422534
Professional Enrollment ID
I20180718003829
Address ID
IL623012834QU1005XSTXX300

Contacts

Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

11,637 NURSE PRACTITIONER in IL

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Provider Addresses for KELSEY GRAY

  • 1005, Broadway Street, Quincy, Adams County, Illinois, 62301, United States

    QUINCY, IL 623012834

    Phone: (217) 223-1200

    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 7 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medtronic, Inc. ($81).

Total Amount

$185

General + Research + Ownership

Payments

7

Total payment records

General Amount

$185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2018-07-18

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
I20180718003829INurse PractitionerILTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5858$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3224$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2311$0
View full utilization report →

Insurance plans in this area (ZIP 62301)

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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: 3072422534View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
N E U R O L O G YMI
Radiation OncologyIL
Nurse PractitionerIL
Nurse PractitionerIL
Pain Management, AnesthesiologyIL
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

How do I look up KELSEY GRAY by NPI?
Use NPI 1952899940 when you need to reference KELSEY GRAY in forms, claims, or directories.
Is KELSEY GRAY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KELSEY GRAY work in?
You can think of KELSEY GRAY as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KELSEY GRAY?
The snapshot lists Quincy, Illinois for KELSEY GRAY; download NPPES for the complete set.
What if Quincy, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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