NICOLE ANN BRAY PA-C
NPI 1013050533
Physician Assistant in Fort Worth, TX

Q: What is Nicole Bray's NPI number?

The NPI number for Nicole Bray is 1013050533. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Q: What is Nicole Bray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Bray was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment

2720 WESTERN CENTER BLVD STE 312, FORT WORTH, TX 76131(855) 893-5637(817) 666-3873 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Ann Bray Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ANN BRAY PA-C (NPI 1013050533) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA04796) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1013050533

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE ANN BRAYCredential: PA-C

Location Address2720 WESTERN CENTER BLVD STE 312Fort Worth, TX 76131-4302

Mailing Address2340 E Trinity Mills Rd Ste 250Carrollton, TX 75006-1946 · (972) 417-8937 · Fax (972) 439-1977

Phone(855) 893-5637

Fax(817) 666-3873

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 14, 2007

Last NPPES UpdateOctober 28, 2024

NPPES CertifiedOctober 28, 2024

✔ NPI 1013050533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA04796

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2720 WESTERN CENTER BLVD STE 312, Fort Worth, TX 76131

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nicole Ann Bray Pa-c 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 ID4688768674

PECOS Enrollment IDI20070921000158

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450563

Location1650 W College StGrapevine, TX 76051 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76131 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CODY L MIHILLS M.D.

Family Medicine