MS. KIMBERLY NICOLE GRAY PMHNP-BC
NPI 1003654179
Nurse Practitioner - Psychiatric/Mental Health in Norfolk, VA
About Ms. Kimberly Nicole Gray Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLY NICOLE GRAY PMHNP-BC (NPI 1003654179) is an individual psychiatric/mental health provider in Norfolk, Virginia, licensed in Virginia (0024190699) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hampton, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Kimberly Nicole Gray Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Gray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norfolk, VA 23508
- Reassigned Medicare billing, Virginia enrollment
- 267 clinicians in this Medicare group
Hampton, VA 23661
- Reassigned Medicare billing, Virginia enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Gray's NPI number?
The NPI number for Kimberly Gray is 1003654179. It was assigned to this individual provider in the NPPES registry on July 15, 2024.
Where is Kimberly Gray located?
Kimberly Gray practices at 825 Fairfax Ave Ste 410, Norfolk, VA 23507. The listed phone number is (757) 446-8999.
What is Kimberly Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kimberly Gray enrolled in Medicare?
Yes. Kimberly Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kimberly Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Gray reassigns Medicare benefits to 2 organizations: Evms Academic Physicians And Surgeons Health Services Foundation (Norfolk, VA) and Foundations To Success, LLC (Hampton, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Gray was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Kimberly Nicole Gray, PMHNP-BC · NPI 1003654179
Psychiatric/Mental Health physician in Norfolk, Virginia. Individual provider, active in the CMS NPPES registry since July 15, 2024.
## Identity
- **NPI:** 1003654179 (Entity type: Individual)
- **Enumerated:** July 15, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024190699 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 825 FAIRFAX AVE STE 410, Norfolk, VA 23507-1914
- **Phone:** (757) 446-8999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Evms Academic Physicians And Surgeons Health Services Foundation (NPI 1003887118, Norfolk, VA); Foundations To Success, LLC (NPI 1700779303, Hampton, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003654179) · Data from the CMS NPPES public registry.