RAY WAKEFIELD
NPI 1184055345
Nurse Practitioner in Brownsville, TN

Q: What is Ray Wakefield's NPI number?

The NPI number for Ray Wakefield is 1184055345. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Q: What is Ray Wakefield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ray Wakefield was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 12, 2013PECOS EnrolledAccepts Medicare Assignment

2290 N WASHINGTON AVE, BROWNSVILLE, TN 38012(731) 772-5183(731) 772-2781 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Aug 16, 2018 (2 updates tracked since 2018).

On this page

About Ray Wakefield NPPES

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

RAY WAKEFIELD (NPI 1184055345) is an individual nurse practitioner in Brownsville, Tennessee, licensed in Tennessee (F0913554) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184055345

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameRAY WAKEFIELD

Location Address2290 N WASHINGTON AVEBrownsville, TN 38012

Mailing Address2290 N Washington AveBrownsville, TN 38012 · (731) 772-5183 · Fax (731) 772-2781

Phone(731) 772-5183

Fax(731) 772-2781

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 12, 2013

Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1184055345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · F0913554

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2290 N WASHINGTON AVE, Brownsville, TN 38012

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Secondary Practice Location 1

Location 1111 Stonebridge BlvdJackson, TN 38305-2040 · Phone (731) 410-6777 · Fax (731) 410-6778

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Ray Wakefield 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 ID1557688538

PECOS Enrollment IDI20150401000909

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 38012 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 5

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

ADAM P ENGLISH D.O.

Family Medicine