MARISSA M GRAY DNP PMHNP - NPI 1235867821 - Nurse Practitioner in Memphis, TN

Q: What is Marissa Gray's NPI number?

The NPI number for Marissa Gray is 1235867821. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Q: What is Marissa Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Gray was last updated on December 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Marissa M Gray Dnp Pmhnp NPPES

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

MARISSA M GRAY DNP PMHNP (NPI 1235867821) is an individual psychiatric/mental health provider in Memphis, Tennessee, licensed in Tennessee (32604) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2022).

NPPES Registry Identity

NPI1235867821

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARISSA M GRAYCredential: DNP PMHNP

Location Address4646 POPLAR AVE STE 302Memphis, TN 38117-4433

Mailing Address11530 Spring Manor LnEads, TN 38028-7987 · (901) 651-5929

Phone(901) 651-5929

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2022

Enumeration DateAugust 11, 2022

Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1235867821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in TN · 32604✔ Licensed in MS · 907923✔ Licensed in AR · 230091

Also ListedRegistered NurseTaxonomy 163W00000X · License 210094 (TN)

4646 POPLAR AVE STE 302, Memphis, TN 38117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, 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

Marissa M Gray Dnp Pmhnp 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 ID5496123846

PECOS Enrollment IDI20221116001949

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 38117 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 11

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

RAPHAEL WOODALL LCSW

Social Worker (Clinical)