MRS. MALLORY JO GRAY APRN
NPI 1255963252
Nurse Practitioner - Family in Moore, OK

Active since February 07, 2020PECOS EnrolledAccepts Medicare Assignment
400 N EASTERN AVE, MOORE, OK 73160(405) 730-6990(405) 730-6992 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Oct 15, 2020, Feb 7, 2020 (3 updates tracked since 2020).

About Mrs. Mallory Jo Gray Aprn NPPES

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

MRS. MALLORY JO GRAY APRN (NPI 1255963252) is an individual family provider in Moore, Oklahoma, licensed in Oklahoma (87735) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Moore, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255963252
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MALLORY JO GRAYCredential: APRN
Location Address400 N EASTERN AVEMoore, OK 73160-5833
Mailing AddressPo Box 891625Oklahoma City, OK 73189-1625 · (405) 757-7818 · Fax (405) 703-3116
Fax(405) 730-6992
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 7, 2020
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1255963252 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 OK · 87735
400 N EASTERN AVE, Moore, OK 73160

Secondary Practice Location 1

Location 1400 N Eastern AveMoore, OK 73160-5833 · Phone (405) 757-7818 · Fax (405) 703-3116

Other Identifiers 2

Medicaid200905610AOK
Other1B6545OK · Medicare Ptan

Accepted 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

Mrs. Mallory Jo Gray 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 ID7113357567
PECOS Enrollment IDI20200427000354
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 3

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.
45 services26 patients
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.
22 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73160 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Nurse Practitioner (Family)
400 N EASTERN AVE
MOORE, OK 73160
Nurse Practitioner (Family)
400 N EASTERN AVE
MOORE, OK 73160
Pediatrics
400 N EASTERN AVE
MOORE, OK 73160
Nurse Practitioner (Family)
400 N EASTERN AVE
MOORE, OK 73160
Counselor (Addiction (Substance Use Disorder))
400 N EASTERN AVE
MOORE, OK 73160
Nurse Practitioner (Pediatrics)
400 N EASTERN AVE
MOORE, OK 73160
Physician Assistant
400 N EASTERN AVE
MOORE, OK 73160
Speech-Language Pathologist
400 N EASTERN AVE
MOORE, OK 73160

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 Mallory Gray's NPI number?

The NPI number for Mallory Gray is 1255963252. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is Mallory Gray located?

Mallory Gray practices at 400 N Eastern Ave, Moore, OK 73160. The listed phone number is (405) 730-6990.

What is Mallory Gray's specialty?

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

Is Mallory Gray enrolled in Medicare?

Yes. Mallory 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 Mallory Gray accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Mallory 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.

When was this NPI record last updated?

The NPPES record for Mallory Gray was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.