RAY WAKEFIELD – Nurse Practitioner, NPI 1184055345

RAY WAKEFIELD is a healthcare provider. based in Jackson, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. F0913554 (TN). The NPI Number for RAY WAKEFIELD is 1184055345

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
RAY WAKEFIELD
NPI
1184055345
Phone
(731) 410-6777
Address
111 Stonebridge Blvd
Enumeration Date
12 December 2013
Last Update Date
9 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7314238200
Graduation Year
2013 (13 years ago)
PAC ID
1557688538
Group Practice PAC ID
5092702498
Professional Enrollment ID
I20150401000909
Address ID
TN383013930JA327XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for RAY WAKEFIELD

  • 111 Stonebridge Blvd

    Jackson, TN 383052040

    Phone: (731) 410-6777

    Fax: (731) 410-6778

    Type: Location

  • 2290 N WASHINGTON AVE

    BROWNSVILLE, TN 38012

    Phone: (731) 772-5183

    Fax: (731) 772-2781

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 279 Open Payments records for all available years, with a total value of $4,494.

Total Amount is formed as General ($4,494) + Research ($0) + Ownership ($0) = $4,494.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($590).

Total Amount

$4,494

General + Research + Ownership

Payments

279

Total payment records

General Amount

$4,494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2015-04-01

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
I20150401000909INurse PractitionerTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38305)

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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: 5092702498View full group profile
NameSpecialtyState
Nurse PractitionerTN
Cardiovascular Disease (Cardiology), Internal MedicineTN
-TN

Reviews

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Frequently asked questions

What is the 10-digit NPI for RAY WAKEFIELD?
RAY WAKEFIELD — NPI 1184055345 — is the standard way to identify this listing.
Is RAY WAKEFIELD still practicing?
RAY WAKEFIELD is currently listed as active in the public NPI registry.
What healthcare role does RAY WAKEFIELD hold?
Scheduling teams often label RAY WAKEFIELD under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is RAY WAKEFIELD based?
RAY WAKEFIELD is tied to Jackson, Tennessee in the data we show; additional addresses may exist on the full record.
Why does RAY WAKEFIELD have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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