KIMBERLY GRAY PMHNP
NPI 1265165229
Nurse Practitioner - Psychiatric/Mental Health in Greenwood, IN
About Kimberly Gray Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY GRAY PMHNP (NPI 1265165229) is an individual psychiatric/mental health provider in Greenwood, Indiana, licensed in Indiana (28212858A) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kimberly Gray 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Gray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood, IN 46143
- Reassigned Medicare billing, Indiana enrollment
- 19 clinicians in this Medicare group
Bloomington, IN 47404
- Reassigned Medicare billing, Indiana enrollment
- 17 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kimberly Gray's NPI number?
The NPI number for Kimberly Gray is 1265165229. It was assigned to this individual provider in the NPPES registry on July 7, 2022.
Where is Kimberly Gray located?
Kimberly Gray practices at 65 Airport Pkwy, Greenwood, IN 46143. The listed phone number is (317) 887-1348.
What is Kimberly Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kimberly Gray enrolled in Medicare?
Yes. Kimberly 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 Kimberly Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Gray reassigns Medicare benefits to 2 organizations: Valle Vista LLC (Greenwood, IN) and Bloomington Meadows Gp (Bloomington, IN). 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 Kimberly Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Gray accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare list Kimberly 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 Kimberly Gray was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kimberly Gray, PMHNP · NPI 1265165229
Psychiatric/Mental Health physician in Greenwood, Indiana. Individual provider, active in the CMS NPPES registry since July 7, 2022.
## Identity
- **NPI:** 1265165229 (Entity type: Individual)
- **Enumerated:** July 7, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 28212858A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 AIRPORT PKWY, Greenwood, IN 46143-1439
- **Phone:** (317) 887-1348
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Valle Vista LLC (NPI 1437651221, Greenwood, IN); Bloomington Meadows Gp (NPI 1033298120, Bloomington, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1265165229) · Data from the CMS NPPES public registry.