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

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: October 25, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tracey Grayer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Mississippi Civic Improvement Association, Inc
Same address
Federally Qualified Health Center (FQHC)
3502 W NORTHSIDE DR
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
  • 69 clinicians in this Medicare group
NPI 1134151442 (601) 362-5321

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 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.

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)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
KATRICE PACLEY ANDREWS FNP-C
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ERICIA LATRICE CANNON NURSE PRACTITONER
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
JEQUETTA SHUREKA ILION MCLAURIN FNP
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Clinic/Center (Physical Therapy)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CHAD ALLEN RHODEN MD
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ANNIE MCCLINE
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CANDICE COLEMAN NP-C
Nurse Practitioner (Adult Health)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321

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 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.

Where is Tracey Grayer located?

Tracey Grayer practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is Tracey Grayer's specialty?

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

Is Tracey Grayer enrolled in Medicare?

Yes. Tracey Grayer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracey Grayer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Grayer reassigns Medicare benefits to Central Mississippi Civic Improvement Association, Inc (Jackson, MS). The 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 Tracey Grayer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracey Grayer accept?

Health plans from Molina Healthcare list Tracey Grayer 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 Tracey Grayer was last updated on August 23, 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.