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JENNIFER GRAY
NPI 1114357555
Nurse Practitioner - Acute Care in Sacramento, CA

Active since November 21, 2013PECOS EnrolledAccepts Medicare Assignment
2315 STOCKTON BLVD, SACRAMENTO, CA 95817(480) 668-5000(480) 428-8593 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2024, Jun 4, 2021 (2 updates tracked since 2021).

About Jennifer Gray NPPES

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

JENNIFER GRAY (NPI 1114357555) is an individual acute care provider in Sacramento, California, licensed in California (NP95021660) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1114357555
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER GRAY
Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201
Mailing Address2315 Stockton BlvdSacramento, CA 95817-2201 · (916) 734-2011 · Fax (480) 428-8593
Phone(480) 668-5000
Fax(480) 428-8593
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 21, 2013
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1114357555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · NP95021660
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License AP5297 (AZ)
2315 STOCKTON BLVD, Sacramento, CA 95817
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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

Jennifer 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 ID3678705506
PECOS Enrollment IDI20230105003113
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 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 20

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

KATHLEEN STUCKER
Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5628
MARIA ISABEL AGUILAR
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8730
NATHAN JACOB VANDEN BERGE
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8570
PETER SANTIAGO C.O., C.PED., FAAOP
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7045
SHIELA LEIGH SAMSON ANGULO DO
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5974
MS. KATHLEEN DOLORES VAN LEEUWEN MD
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3229
STEPHEN MULFORD
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248
MR. MARK YAMADA
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248

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 Jennifer Gray's NPI number?

The NPI number for Jennifer Gray is 1114357555. It was assigned to this individual provider in the NPPES registry on November 21, 2013.

Where is Jennifer Gray located?

Jennifer Gray practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (480) 668-5000.

What is Jennifer Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jennifer Gray enrolled in Medicare?

Yes. Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Gray was last updated on July 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.