SARAH ELLEN GRAY (PMHNP-BC, DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316626799

SARAH ELLEN GRAY (PMHNP-BC, DNP) is a healthcare provider. based in Lebanon, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, DNP. They hold a License No. 242929 (TN). The NPI Number for SARAH ELLEN GRAY (PMHNP-BC, DNP) is 1316626799

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ELLEN GRAY (PMHNP-BC, DNP)
NPI
1316626799
Phone
(615) 509-4103
Address
109B N TARVER AVE
Enumeration Date
13 July 2023
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6154578585
Graduation Year
2024 (2 years ago)
PAC ID
9032639265
Group Practice PAC ID
7214261304
Professional Enrollment ID
I20250219000001
Address ID
TN372031553NA2410XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for SARAH ELLEN GRAY (PMHNP-BC, DNP)

  • 109B N TARVER AVE

    LEBANON, TN 370872633

    Phone: (615) 509-4103

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-19

PECOS data refreshed: 2026-06-15

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
I20250219000001INurse 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 37087)

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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: 7214261304View full group profile
NameSpecialtyState
Nurse PractitionerCA
P S Y C H I A T R YTN
Nurse PractitionerTN
N E U R O L O G YTN
Clinical PsychologistTN
Nurse PractitionerFL
Nurse PractitionerTX
Nurse PractitionerLA
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Where can patients find SARAH ELLEN GRAY (PMHNP-BC, DNP)'s NPI?
You can confirm SARAH ELLEN GRAY (PMHNP-BC, DNP) with NPI 1316626799; it appears in the national provider directory.
Is SARAH ELLEN GRAY (PMHNP-BC, DNP) active in the national directory?
SARAH ELLEN GRAY (PMHNP-BC, DNP)'s public NPI profile is in an active state.
Does SARAH ELLEN GRAY (PMHNP-BC, DNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for SARAH ELLEN GRAY (PMHNP-BC, DNP). Clinical services aligned with this taxonomy classification.
Where is SARAH ELLEN GRAY (PMHNP-BC, DNP)'s primary listing?
We display Lebanon, Tennessee because that is what the record indicates for SARAH ELLEN GRAY (PMHNP-BC, DNP).
How can I contact SARAH ELLEN GRAY (PMHNP-BC, DNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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