MRS. JACQUELYN BRUNER RAY NP
NPI 1326513920
Nurse Practitioner - Gerontology in Meridian, MS

Active since October 10, 2018PECOS EnrolledAccepts Medicare Assignment
52.37/100
CMS Quality Rating
4711 POPLAR SPRINGS DR, MERIDIAN, MS 39305(601) 485-7777(601) 485-7766 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2025, Apr 8, 2025, Oct 10, 2018 (3 updates tracked since 2018).

About Mrs. Jacquelyn Bruner Ray Np NPPES

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

MRS. JACQUELYN BRUNER RAY NP (NPI 1326513920) is an individual gerontology provider in Meridian, Mississippi, licensed in Mississippi (902970) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Anderson Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326513920
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. JACQUELYN BRUNER RAYCredential: NP
Location Address4711 POPLAR SPRINGS DRMeridian, MS 39305-2622
Mailing Address365 Rollingwood DrMeridian, MS 39305-8916 · (832) 687-2518
Fax(601) 485-7766
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 10, 2018
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1326513920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MS · 902970
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 902970 (MS)
4711 POPLAR SPRINGS DR, Meridian, MS 39305

Secondary Practice Locations 2

Location 11102 Constitution AveMeridian, MS 39301-4001 · Phone (601) 703-5000 · Fax (601) 703-0124
Location 22124 14th StMeridian, MS 39301-4040 · Phone (601) 553-6000 · Fax (601) 703-0124

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

Mrs. Jacquelyn Bruner Ray Np 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 ID2365781689
PECOS Enrollment IDI20190305001058
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 Jacquelyn Ray reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
4711 POPLAR SPG DR
Meridian, MS 39305
  • Reassigned Medicare billing, Mississippi enrollment
  • 10 clinicians in this Medicare group
Multi-Specialty
2124 14TH ST
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 173 clinicians in this Medicare group
Hospitalist
2124 14TH ST
Meridian, MS 39301
  • Reassigned Medicare billing, Mississippi enrollment
  • 88 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.

Hospital Affiliations CMS Care Compare

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

Anderson Regional Medical Center

Acute Care Hospitals · Meridian, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250104
Location2124 14th StreetMeridian, MS 39301 · Lauderdale County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39305 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

52.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.38
Improvement Activities40
Cost34.97

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.

Clinic/Center (Physical Therapy)
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Otolaryngology
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Nurse Practitioner (Gerontology)
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Nurse Practitioner (Family)
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305
Nurse Practitioner (Family)
4711 POPLAR SPRINGS DR
MERIDIAN, MS 39305

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 Jacquelyn Ray's NPI number?

The NPI number for Jacquelyn Ray is 1326513920. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Jacquelyn Ray located?

Jacquelyn Ray practices at 4711 Poplar Springs Dr, Meridian, MS 39305. The listed phone number is (601) 485-7777.

What is Jacquelyn Ray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jacquelyn Ray enrolled in Medicare?

Yes. Jacquelyn Ray 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 Jacquelyn Ray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Ray reassigns Medicare benefits to 3 organizations: East Mississippi Medical Clinic, PLLC (Meridian, MS), Anderson Physician Alliance, Inc. (Meridian, MS) and Hospitalist Services Of Meridian PA (Meridian, MS). 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 Jacquelyn Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Ray accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Jacquelyn Ray 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.

Is Jacquelyn Ray affiliated with any hospitals?

According to CMS data, Jacquelyn Ray is affiliated with Anderson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jacquelyn Ray was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.