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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRAY ALEXANDRA KELSEY MD
NPI 1205689510
Family Medicine in Aurora, CO

Active since April 08, 2024PECOS Enrolled
12631 E 17TH AVE, AURORA, CO 80045(303) 724-2041 Get Directions Write a Review

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

Record update history: Jul 9, 2026, Mar 31, 2025, Apr 8, 2024 (3 updates tracked since 2024).

About Gray Alexandra Kelsey Md NPPES

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

GRAY ALEXANDRA KELSEY MD (NPI 1205689510) is an individual family medicine provider in Aurora, Colorado, licensed in California (PTL19657) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1205689510
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGRAY ALEXANDRA KELSEYCredential: MD
Location Address12631 E 17TH AVEAurora, CO 80045-2527
Mailing Address12631 E 17th AveAurora, CO 80045-2527 · (303) 724-2041
Phone(303) 724-2041
Sole ProprietorNo
Enumeration DateApril 8, 2024
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1205689510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · PTL19657
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12631 E 17TH AVE, Aurora, CO 80045
Open in Google Maps ↗

Secondary Practice Location 1

Location 13569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5784 · Phone (707) 583-8800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gray Alexandra Kelsey Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

ANNIKA DANIELLE RECZEK MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-5000
SARAH ASHLEY
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
MARIA IZABEL KUGELMAS GUARITA LOCKWOOD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 887-6343
ELIZABETH JONES DO
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
DR. SAMANTHA NICOLE FOUNTAIN MD, MMEDSCI
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-2680
DR. BEZA TESHOME TAYACHEW MD, MPH
Internal Medicine
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
HANA MUSE KUSUMOTO MPH, MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784
SPENCER SURESH BURT MD
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-1784

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 Gray Kelsey's NPI number?

The NPI number for Gray Kelsey is 1205689510. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Gray Kelsey located?

Gray Kelsey practices at 12631 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-2041.

What is Gray Kelsey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gray Kelsey enrolled in Medicare?

Yes. Gray Kelsey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gray Kelsey was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.