REBECCA LYNNE GRAY (CNP) – Family Nurse Practitioner, NPI 1962448969
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,033 NURSE PRACTITIONER in WI
Provider Addresses for REBECCA LYNNE GRAY (CNP)
730 10th Ave
Baldwin, WI 540029416
Phone: (715) 684-3311
Type: Location
Fairview Lakes Medical Center, 5200, Fairview Boulevard, Wyoming, Chisago County, Minnesota, 55092, United States
WYOMING, MN 550928013
Phone: (651) 982-7600
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: 2012-04-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050624001013 | I | Nurse Practitioner | WI | TBD |
| I20111110000599 | I | Certified Nurse Midwife (Cnm) | MN | TBD |
| I20120406000180 | I | Nurse Practitioner | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 47 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 14 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 12 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 54002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| - | MO | |
| - | MN | |
| - | VA | |
| - | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN |
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