BROOKE LORRIN SHAMBLIN GRAY FNP
NPI 1245030154
Nurse Practitioner - Family in Leesburg, VA

Active since March 18, 2025PECOS EnrolledAccepts Medicare Assignment
1200 EDWARDS FERRY RD NE, LEESBURG, VA 20176(866) 389-2727 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Jun 14, 2025, May 8, 2025 and 1 more (4 updates tracked since 2025).

About Brooke Lorrin Shamblin Gray Fnp NPPES

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

BROOKE LORRIN SHAMBLIN GRAY FNP (NPI 1245030154) is an individual family provider in Leesburg, Virginia, licensed in Virginia (0024192995) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245030154
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBROOKE LORRIN SHAMBLIN GRAYCredential: FNP
Location Address1200 EDWARDS FERRY RD NELeesburg, VA 20176-3318
Mailing Address1200 Edwards Ferry Rd NeLeesburg, VA 20176-3318 · (866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 18, 2025
Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1245030154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024192995
1200 EDWARDS FERRY RD NE, Leesburg, VA 20176

Other Names 1

Professional Name (2)Brooke Shamblin Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brooke Lorrin Shamblin Gray Fnp 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 ID2264950922
PECOS Enrollment IDI20250515003522, I20250519002763
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brooke Gray reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
19305 RUBY DR
Leesburg, VA 20176
  • Reassigned Medicare billing, District of Columbia enrollment
  • 266 clinicians in this Medicare group
Infusion Therapy
5450 WYNDHAM FOREST DR STE 6-02
Glen Allen, VA 23059
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 6 clinicians in this Medicare group
Infusion Therapy
649 N LEWIS RD, SUITE 230-B
Royersford, PA 19468
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Optometrist
1200 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Nurse Practitioner (Family)
1200 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Eyewear Supplier
1200 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Nurse Practitioner (Family)
1200 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Nurse Practitioner (Family)
1200 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Nurse Practitioner (Family)
1200 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Pharmacist
1200 EDWARDS FERRY RD NE
LEESBURG, VA 20176
Pharmacy
1200 EDWARDS FERRY RD NE
LEESBURG, VA 20176

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 Brooke Gray's NPI number?

The NPI number for Brooke Gray is 1245030154. It was assigned to this individual provider in the NPPES registry on March 18, 2025. The provider is also known as Brooke Shamblin Fnp.

Where is Brooke Gray located?

Brooke Gray practices at 1200 Edwards Ferry Rd NE, Leesburg, VA 20176. The listed phone number is (866) 389-2727.

What is Brooke Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brooke Gray enrolled in Medicare?

Yes. Brooke 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.

Which organizations bill Medicare for Brooke Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooke Gray reassigns Medicare benefits to 3 organizations: Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA), Vivo Infusion Virginia LLC (Glen Allen, VA) and Infusion Center Of Pennsylvania LLC (Royersford, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooke Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brooke Gray was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.