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

CANDICE Y GRAY-CUNNINGHAM APRN
NPI 1225632904
Nurse Practitioner - Acute Care in Louisville, KY

Q: What is Candice Gray-cunningham's NPI number?

The NPI number for Candice Gray-cunningham is 1225632904. It was assigned to this individual provider in the NPPES registry on November 24, 2020.

Q: What is Candice Gray-cunningham's specialty?

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

Active since November 24, 2020PECOS Enrolled

100/100

CMS Quality Rating

4950 NORTON HEALTHCARE BLVD STE 303, LOUISVILLE, KY 40241(502) 394-6470 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 14, 2026, Apr 8, 2024, Jan 6, 2021 and 1 more (4 updates tracked since 2020).

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About Candice Y Gray-cunningham Aprn NPPES

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

CANDICE Y GRAY-CUNNINGHAM APRN (NPI 1225632904) is an individual acute care provider in Louisville, Kentucky, licensed in Kentucky (3014297) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1225632904

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameCANDICE Y GRAY-CUNNINGHAMCredential: APRN

Location Address4950 NORTON HEALTHCARE BLVD STE 303Louisville, KY 40241-2848

Mailing Address1107 Crown Pointe Dr Ste 107Elizabethtown, KY 42701-7280 · (502) 885-7200

Phone(502) 394-6470

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 24, 2020

Last NPPES UpdateSeptember 14, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1225632904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in KY · 3014297

4950 NORTON HEALTHCARE BLVD STE 303, Louisville, KY 40241

Open in Google Maps ↗

Secondary Practice Locations 5

Location 11107 Crown Pointe Dr Ste 107Elizabethtown, KY 42701-7280 · Phone (270) 506-3300 · Fax (270) 506-2843

Location 23602 Northgate CtNew Albany, IN 47150-6417 · Phone (812) 670-5684

Location 399 Wellpark Ln Apt 4Campbellsville, KY 42718-4919 · Phone (606) 260-8613

Location 4935 Chambers BlvdBardstown, KY 40004-2575 · Phone (270) 506-3300

Location 5101 Prosperous Pl Ste 300Lexington, KY 40509-1836 · Phone (859) 275-5229

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Candice Y Gray-cunningham Aprn 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 ID8325452600

PECOS Enrollment IDI20210127002889, I20250428003468

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 10

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

243 services175 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

187 services144 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481

A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.

160 services119 patients

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.

136 services93 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

60 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

35 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150044

Location1850 State StNew Albany, IN 47150 · Floyd County

Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150069

Location1373 East Sr 62Madison, IN 47250 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40241 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

BRIDGET PITCOCK APRN

Nurse Practitioner (Family)