TIFFANY MONIQUE GRAY
NPI 1053120014
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since January 04, 2025PECOS EnrolledAccepts Medicare Assignment
4320 GLENMORE AVE, BALTIMORE, MD 21206(443) 570-5072 Get Directions Write a Review

NPPES record last updated: January 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany Monique Gray NPPES

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

TIFFANY MONIQUE GRAY (NPI 1053120014) is an individual psychiatric/mental health provider in Baltimore, Maryland, licensed in Maryland (R149695) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053120014
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIFFANY MONIQUE GRAY
Location Address4320 GLENMORE AVEBaltimore, MD 21206-1919
Mailing Address4320 Glenmore AveBaltimore, MD 21206-1919 · (443) 570-5072
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 4, 2025
NPPES CertifiedJanuary 4, 2025
NPI 1053120014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R149695
4320 GLENMORE AVE, Baltimore, MD 21206

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

Tiffany Monique Gray 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 ID9234652272
PECOS Enrollment IDI20250331001408, I20250331002134
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 21206 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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 Tiffany Gray's NPI number?

The NPI number for Tiffany Gray is 1053120014. It was assigned to this individual provider in the NPPES registry on January 4, 2025.

Where is Tiffany Gray located?

Tiffany Gray practices at 4320 Glenmore Ave, Baltimore, MD 21206. The listed phone number is (443) 570-5072.

What is Tiffany Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tiffany Gray enrolled in Medicare?

Yes. Tiffany 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 Tiffany Gray accept?

Health plans from Providence Health Plan list Tiffany 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 Tiffany Gray was last updated on January 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.