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MACKENSLEY GRAY FNP
NPI 1104668797
Nurse Practitioner - Family in Florence, AL

Active since June 12, 2024PECOS EnrolledAccepts Medicare Assignment
145 ANA DR, FLORENCE, AL 35630(256) 284-7280(256) 284-7284 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2025, Sep 11, 2024, Jun 25, 2024 and 1 more (4 updates tracked since 2024).

About Mackensley Gray Fnp NPPES

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

MACKENSLEY GRAY FNP (NPI 1104668797) is an individual family provider in Florence, Alabama, licensed in Alabama (3-001926) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104668797
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMACKENSLEY GRAYCredential: FNP
Location Address145 ANA DRFlorence, AL 35630-1731
Mailing AddressPo Box 490Florence, AL 35631-0490 · (256) 284-7280 · Fax (256) 284-7284
Phone(256) 284-7280
Fax(256) 284-7284
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 12, 2024
Last NPPES UpdateOctober 9, 20254 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1104668797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 3-001926
Also ListedRegistered NurseTaxonomy 163W00000X · License 908635 (MS)
145 ANA DR, Florence, AL 35630
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Mackensley Gray Fnp 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 ID3476084229
PECOS Enrollment IDI20241003001633
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 35630 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 7

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

ANNE TAYLOR MOORE FNP-C
Nurse Practitioner (Family)
145 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 284-7280
HOLDEN GRIMES RN
Registered Nurse
145 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 284-7280
DR. BETHANY ANN JACKSON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
145 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 284-7280
THE FLORENCE ENDOCRINE CLINIC A PROFESSIONAL LIMITED LIABILITY COMPANY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
145 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 284-7280
HANNAH PERKINS FNP-C
Family Medicine
145 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 284-7280
JESSICA MOORE MCCAFFERTY CRNP
Nurse Practitioner
145 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 284-7280
ERICA CONLEY CRNP
Nurse Practitioner (Family)
145 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 284-7280

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 Mackensley Gray's NPI number?

The NPI number for Mackensley Gray is 1104668797. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Mackensley Gray located?

Mackensley Gray practices at 145 Ana Dr, Florence, AL 35630. The listed phone number is (256) 284-7280.

What is Mackensley Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mackensley Gray enrolled in Medicare?

Yes. Mackensley 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 Mackensley Gray accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Mackensley 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 Mackensley Gray was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.