NICOLE ANN BRAY (PA-C) – Physician Assistant, NPI 1013050533
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for NICOLE ANN BRAY (PA-C)
1604 Lancaster Dr
Grapevine, TX 760513544
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
204 FOXFORD DR
KELLER, TX 762482532
Phone:
Type: Mailing
200 PECAN CRK
SOUTHLAKE, TX 760926371
Phone: (817) 481-4739
Fax: (877) 656-8470
Type: Location
1752 Broad Park Cir N Ste 114
Mansfield, TX 760637824
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
6029 Belt Line Rd Ste 10
Dallas, TX 752549109
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
1305 Airport Fwy Ste 405
Bedford, TX 760216607
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
4004 Medical Pkwy
Greenville, TX 754017854
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
750 Eureka St Ste B
Weatherford, TX 760866521
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
1625 N Grand Ave
Gainesville, TX 762402343
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
2340 E TRINITY MILLS RD STE 250
CARROLLTON, TX 750061946
Phone: (972) 417-8937
Fax: (972) 439-1977
Type: Mailing
2720 WESTERN CENTER BLVD STE 312
FORT WORTH, TX 761314302
Phone: (855) 893-5637
Fax: (817) 666-3873
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $751.
Total Amount is formed as General ($751) + Research ($0) + Ownership ($0) = $751.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($239).
Total Amount
$751
General + Research + Ownership
Payments
42
Total payment records
General Amount
$751
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $239 |
| Novo Nordisk Inc | $116 |
| Currax Pharmaceuticals LLC | $100 |
| Lilly USA, LLC | $47 |
| PFIZER INC. | $35 |
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: 2007-09-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070921000158 | I | Physician Assistant | TX | 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 76051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine, Hospice/Palliative Care | AZ | |
| Physician Assistant | AZ | |
| Family Practice, Hospitalist | AZ | |
| Internal Medicine | AZ | |
| Family Practice | AZ | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | CA |
Reviews
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