MRS. KIMBERLY MARIE GRAY (NP) – Nurse Practitioner, NPI 1619633989

MRS. KIMBERLY MARIE GRAY (NP) is a healthcare provider. based in Floresville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1046983 (TX). The NPI Number for MRS. KIMBERLY MARIE GRAY (NP) is 1619633989

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY MARIE GRAY (NP)
NPI
1619633989
Phone
(830) 251-0777
Address
559 10TH ST
Enumeration Date
11 November 2021
Last Update Date
12 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2104370077
Graduation Year
2021 (5 years ago)
PAC ID
0345629812
Group Practice PAC ID
5395144158
Professional Enrollment ID
I20220614002561
Address ID
TX782592396SA3107XPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. KIMBERLY MARIE GRAY (NP)

  • 559 10TH ST

    FLORESVILLE, TX 781143165

    Phone: (830) 251-0777

    Type: Location

  • 12315 JUDSON RD STE 110

    LIVE OAK, TX 782333263

    Phone: (210) 566-8332

    Type: Location

  • 3235 HARVEST CRST

    MARION, TX 781241407

    Phone: (210) 439-9450

    Type: Mailing

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: 2022-06-14

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
I20220614002561INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg17822$0
99213Established patient office or other outpatient visit, 20-29 minutes5345$0
99203New patient office or other outpatient visit, 30-44 minutes5050$0
96372Injection of drug or substance under skin or into muscle2623$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2323$0
View full utilization report →

Insurance plans in this area (ZIP 78114)

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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: 5395144158View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Emergency Medicine, Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX

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Frequently asked questions

What NPI should I save for MRS. KIMBERLY MARIE GRAY (NP)?
Save NPI 1619633989 if you need a stable reference for MRS. KIMBERLY MARIE GRAY (NP).
Is MRS. KIMBERLY MARIE GRAY (NP) currently active in the NPI registry?
CMS-published data lists MRS. KIMBERLY MARIE GRAY (NP) as an active registrant.
What kind of provider is MRS. KIMBERLY MARIE GRAY (NP)?
The page reflects Nurse Practitioner for MRS. KIMBERLY MARIE GRAY (NP). Clinical services aligned with this taxonomy classification.
Where is MRS. KIMBERLY MARIE GRAY (NP)'s primary listing?
We display Floresville, Texas because that is what the record indicates for MRS. KIMBERLY MARIE GRAY (NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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