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ANTHONY BRAY AGACNP
NPI 1013387778
Nurse Practitioner - Gerontology in Minnetonka, MN

Active since October 06, 2015PECOS Enrolled
9900 BREN RD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343(478) 538-0908 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anthony Bray Agacnp NPPES

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

ANTHONY BRAY AGACNP (NPI 1013387778) is an individual gerontology provider in Minnetonka, Minnesota, licensed in Arizona (AP7742) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1013387778
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameANTHONY BRAYCredential: AGACNP
Location Address9900 BREN RD EAST, MAIL ROUTE MN 008-B213Minnetonka, MN 55343
Mailing Address3896 S Star Canyon DrGilbert, AZ 85297-3519 · (480) 710-4174
Phone(478) 538-0908
Sole ProprietorNo
Enumeration DateOctober 6, 2015
Last NPPES UpdateJuly 2, 2020
NPPES CertifiedJuly 2, 2020
✔ NPI 1013387778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AZ · AP7742
9900 BREN RD EAST, Minnetonka, MN 55343
Open in Google Maps ↗

Secondary Practice Location 1

Location 13030 N Central AvePhoenix, AZ 85012-2707 · Phone (602) 406-8983

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Bray Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Anthony Bray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Physicians Southwest, PC
1,257 mi
Emergency Medicine
6644 E BAYWOOD AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 289 clinicians in this Medicare group
NPI 1912053752 (480) 321-2000
Quantum Healthcare Medical Associates Of Arizona, PC
1,555 mi
Emergency Medicine
5000 HOPYARD RD, SUITE 100
Pleasanton, CA 94588
  • Reassigned Medicare billing, Arizona enrollment
  • 97 clinicians in this Medicare group
NPI 1821391269 (925) 924-1600

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 55343 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 6

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

ALICIA GRIPPER GNP
Nurse Practitioner (Gerontology)
9900 BREN RD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Hennepin County (803) 770-2426
MRS. LAURIE A. COPELAND FAMILY NURSE PRACTIT
Nurse Practitioner (Family)
9900 BREN RD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Hennepin County (229) 589-0272
JENNA JOHNSON NP
Nurse Practitioner (Family)
9900 BREN RD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Hennepin County (480) 490-3507
ERIN FRITZINGER FNP-C
Nurse Practitioner (Family)
9900 BREN RD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Hennepin County (262) 751-3733
KATHERINE TOWNSEND FNP-C
Nurse Practitioner (Family)
9900 BREN RD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Hennepin County (770) 298-4880
MS. MICHELLE D LEWIS FNP, ACNP
Nurse Practitioner (Family)
9900 BREN RD EAST, MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Hennepin County (817) 368-1565

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 Anthony Bray's NPI number?

The NPI number for Anthony Bray is 1013387778. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Anthony Bray located?

Anthony Bray practices at 9900 Bren Rd East Mail Route Mn 008-B213, Minnetonka, MN 55343. The listed phone number is (478) 538-0908.

What is Anthony Bray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Anthony Bray enrolled in Medicare?

Yes. Anthony Bray is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anthony Bray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Bray reassigns Medicare benefits to 2 organizations: Emergency Physicians Southwest, PC (Mesa, AZ) and Quantum Healthcare Medical Associates Of Arizona, PC (Pleasanton, CA). 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 Anthony Bray'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 Anthony Bray was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.