MS. KIMBERLY NICOLE GRAY PMHNP-BC
NPI 1003654179
Nurse Practitioner - Psychiatric/Mental Health in Norfolk, VA

Active since July 15, 2024PECOS EnrolledAccepts Medicare Assignment
825 FAIRFAX AVE STE 410, NORFOLK, VA 23507(757) 446-8999 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Aug 6, 2024, Jul 15, 2024 (3 updates tracked since 2024).

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

NPI1003654179
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KIMBERLY NICOLE GRAYCredential: PMHNP-BC
Location Address825 FAIRFAX AVE STE 410Norfolk, VA 23507-1914
Mailing Address825 Fairfax Ave Ste 410Norfolk, VA 23507-1914 · (757) 446-8999
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 15, 2024
Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1003654179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VA · 0024190699
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001242681 (VA)
825 FAIRFAX AVE STE 410, Norfolk, VA 23507

Secondary Practice Location 1

Location 1701 Howmet DrHampton, VA 23661-1001 · Phone (757) 782-2181 · Fax (757) 765-6109

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2567995319
PECOS Enrollment IDI20241031002128
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
825 FAIRFAX AVE STE 410
NORFOLK, VA 23507
Internal Medicine
825 FAIRFAX AVE STE 410
NORFOLK, VA 23507

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.

What insurance does Kimberly Gray accept?

Health plans from Providence Health Plan list Kimberly Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 17 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.