TRACEY GRAYER NURSE PRACTITIONER
NPI 1336868371
Nurse Practitioner - Gerontology in Jackson, MS

Q: What is Tracey Grayer's NPI number?

The NPI number for Tracey Grayer is 1336868371. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Q: What is Tracey Grayer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracey Grayer was last updated on August 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 23, 2022PECOS Enrolled

3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321(601) 364-5159 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tracey Grayer Nurse Practitioner NPPES

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

TRACEY GRAYER NURSE PRACTITIONER (NPI 1336868371) is an individual gerontology provider in Jackson, Mississippi, licensed in Mississippi (905260) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336868371

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameTRACEY GRAYERCredential: NURSE PRACTITIONER

Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454

Mailing AddressPo Box 545Madison, MS 39130-0545 · (770) 546-6270

Phone(601) 362-5321

Fax(601) 364-5159

Sole ProprietorNo

Enumeration DateAugust 23, 2022

NPPES CertifiedAugust 23, 2022

✔ NPI 1336868371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MS · 905260

3502 W NORTHSIDE DR, Jackson, MS 39213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Grayer Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 39213 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.

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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.

MRS. TIFFANI RICCHELE MCKNIGHT

Social Worker (Clinical)