1. Home
  2. Directory
  3. Missouri
  4. Festus
  5. Nurse Practitioner
  6. NPI Profile

COURTNEY ROSE GRAY AGPCNP-BC
NPI 1215445622
Nurse Practitioner - Adult Health in Festus, MO

Active since January 19, 2018PECOS EnrolledAccepts Medicare Assignment
1390 US HIGHWAY 61 STE N1500, FESTUS, MO 63028(636) 933-5055 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2018, Jan 19, 2018 (2 updates tracked since 2018).

About Courtney Rose Gray Agpcnp-bc NPPES

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

COURTNEY ROSE GRAY AGPCNP-BC (NPI 1215445622) is an individual adult health provider in Festus, Missouri, licensed in Missouri (2017040265) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215445622
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCOURTNEY ROSE GRAYCredential: AGPCNP-BC
Location Address1390 US HIGHWAY 61 STE N1500Festus, MO 63028
Mailing Address1625 Shadow Oak DrFestus, MO 63028-3376 · (314) 401-0111
Phone(636) 933-5055
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 19, 2018
Last NPPES UpdateSeptember 6, 20182 updates tracked since enumeration
✔ NPI 1215445622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2017040265
1390 US HIGHWAY 61 STE N1500, Festus, MO 63028
Open in Google Maps ↗

Other Names 1

Professional Name (2)Courtney Rose Pottgen Np

Secondary Practice Locations 2

Location 11400 US Highway 61 Ste 240BFestus, MO 63028-4141 · Phone (636) 933-2344 · Fax (636) 937-9031
Location 2620 Maple Valley DrFarmington, MO 63640-1976 · Phone (636) 933-5055

Accepted Insurance

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

Courtney Rose Gray Agpcnp-bc 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 ID547522880
PECOS Enrollment IDI20180326000659
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
166 services134 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 15

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

DR. SRIDEVI DURGA M.D.
Internal Medicine (Interventional Cardiology)
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-5055
OMAR ALMOUSALLI M.D.
Internal Medicine (Cardiovascular Disease)
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-5055
DR. JEFFREY KENNETH JENKS D.O.
Orthopaedic Surgery
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-8050
RACHEL GLORIA HOLLAND FNP-C
Nurse Practitioner
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-5055
DR. DALE E DOERR M.D.
Orthopaedic Surgery
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-8050
MAKARIA KENZIE MCMULLEN FNP
Nurse Practitioner (Family)
1390 US HIGHWAY 61 STE N1500
CRYSTAL CTY, MO 63028
Jefferson County (636) 933-8050
PAUL RAMON MAYNARD M.D.
Orthopaedic Surgery
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-8050
MS. NICOLE RENEE GUERRERO ANP-BC
Nurse Practitioner (Adult Health)
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 937-8675

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 Courtney Gray's NPI number?

The NPI number for Courtney Gray is 1215445622. It was assigned to this individual provider in the NPPES registry on January 19, 2018. The provider is also known as Courtney Rose Pottgen Np.

Where is Courtney Gray located?

Courtney Gray practices at 1390 Us Highway 61 Ste N1500, Festus, MO 63028. The listed phone number is (636) 933-5055.

What is Courtney Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Courtney Gray enrolled in Medicare?

Yes. Courtney 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 Courtney Gray accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Courtney 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.

Is Courtney Gray affiliated with any hospitals?

According to CMS data, Courtney Gray is affiliated with Mercy Hospital Jefferson.

When was this NPI record last updated?

The NPPES record for Courtney Gray was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.