MRS. STEFANIE LEA GRAY (APRN-BC) – Family Nurse Practitioner, NPI 1891908117

MRS. STEFANIE LEA GRAY (APRN-BC) is a healthcare provider. based in Martin, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. 12648 (TN). The NPI Number for MRS. STEFANIE LEA GRAY (APRN-BC) is 1891908117

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STEFANIE LEA GRAY (APRN-BC)
NPI
1891908117
Phone
(731) 587-9511
Address
117 KENNEDY DR
Enumeration Date
7 May 2007
Last Update Date
28 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9313645321
Graduation Year
2006 (20 years ago)
PAC ID
9830280791
Group Practice PAC ID
5395881841
Professional Enrollment ID
I20070807000214
Address ID
TN370342110CH4696XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for MRS. STEFANIE LEA GRAY (APRN-BC)

  • 117, Kennedy Drive, Martin, Weakley County, Tennessee, 38237, United States

    MARTIN, TN 382373309

    Phone: (731) 587-9511

    Fax: (731) 587-0785

    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: 2007-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1015 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20070807000214INurse PractitionerTN2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
87804Detection test by immunoassay with direct visual observation for influenza virus2513$0
View full utilization report →

Insurance plans in this area (ZIP 38237)

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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: 5395881841View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MRS. STEFANIE LEA GRAY (APRN-BC) in U.S. healthcare records?
The official identifier for MRS. STEFANIE LEA GRAY (APRN-BC) is NPI 1891908117.
Is MRS. STEFANIE LEA GRAY (APRN-BC) shown as active in public data?
Registry records indicate MRS. STEFANIE LEA GRAY (APRN-BC) maintains an active NPI.
How would a patient describe MRS. STEFANIE LEA GRAY (APRN-BC)'s focus?
For MRS. STEFANIE LEA GRAY (APRN-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. STEFANIE LEA GRAY (APRN-BC) located near Martin?
MRS. STEFANIE LEA GRAY (APRN-BC) currently maps to Martin, Tennessee in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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