JESSICA L. GRAY (CRNP) – Family Nurse Practitioner, NPI 1922453968
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,767 NURSE PRACTITIONER in MD
Provider Addresses for JESSICA L. GRAY (CRNP)
6140 6TH ST
CHESAPEAKE BEACH, MD 207324156
Phone: (301) 641-4768
Type: Mailing
3835 SECOR RD
TOLEDO, OH 436234402
Phone: (419) 214-3266
Type: Mailing
14090 HG TRVEMAN ROAD
SUITE 2500
SOLOMONS, MD 206883151
Phone: (410) 535-2005
Fax: (410) 535-4850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $147.
Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.
Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Organogenesis Inc. ($127).
Total Amount
$147
General + Research + Ownership
Payments
6
Total payment records
General Amount
$147
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $127 |
| Exeltis, USA Inc. | $20 |
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: 2024-09-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20210216000084 | I | Nurse Practitioner | MD | TBD |
| I20230508000118 | I | Nurse Practitioner | PA | TBD |
| I20230509001254 | I | Nurse Practitioner | WV | TBD |
| I20240704000493 | I | Nurse Practitioner | DC | TBD |
| I20240821001275 | I | Nurse Practitioner | DE | TBD |
| I20240916000278 | I | Nurse Practitioner | NY | 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 20732)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Physician Assistant | MD | |
| Physician Assistant | MD | |
| Emergency Medicine, Family Practice, Family Practice | MD | |
| Physician Assistant | OH | |
| Family Practice | MD | |
| Nurse Practitioner | MD | |
| Physician Assistant | MD | |
| Family Practice | MD | |
| Nurse Practitioner | MD |
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