MS. JACQUELINE GRAY MSN, APRN, NP-C
NPI 1457808545
Nurse Practitioner - Family in Louisville, KY

Active since September 06, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6420 DUTCHMANS PKWY STE 200, LOUISVILLE, KY 40205(502) 891-8300(502) 891-8338 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2021, Jan 19, 2021, Mar 23, 2018 and 3 more (6 updates tracked since 2016).

About Ms. Jacqueline Gray Msn, Aprn, Np-c NPPES

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

MS. JACQUELINE GRAY MSN, APRN, NP-C (NPI 1457808545) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3010346) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457808545
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JACQUELINE GRAYCredential: MSN, APRN, NP-C
Location Address6420 DUTCHMANS PKWY STE 200Louisville, KY 40205-3373
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 272-5395 · Fax (502) 272-5339
Fax(502) 891-8338
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 6, 2016
Last NPPES UpdateApril 6, 20216 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
NPI 1457808545 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 KY · 3010346
6420 DUTCHMANS PKWY STE 200, Louisville, KY 40205

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

Ms. Jacqueline Gray Msn, Aprn, Np-c 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 ID5193004075
PECOS Enrollment IDI20161116002692
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
584 services415 patients
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.
506 services385 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.
128 services94 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
86 services76 patients

Hospital Affiliations CMS Care Compare 2

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$31.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Interventional Cardiology)
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY 40205
Physician Assistant
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY 40205
Nurse Practitioner (Family)
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY 40205
Internal Medicine (Clinical Cardiac Electrophysiology)
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY 40205
Nurse Practitioner
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY 40205
Internal Medicine (Interventional Cardiology)
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY 40205
Internal Medicine (Cardiovascular Disease)
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY 40205
Internal Medicine (Cardiovascular Disease)
6420 DUTCHMANS PKWY STE 200
LOUISVILLE, KY 40205

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 Jacqueline Gray's NPI number?

The NPI number for Jacqueline Gray is 1457808545. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Jacqueline Gray located?

Jacqueline Gray practices at 6420 Dutchmans Pkwy Ste 200, Louisville, KY 40205. The listed phone number is (502) 891-8300.

What is Jacqueline Gray's specialty?

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

Is Jacqueline Gray enrolled in Medicare?

Yes. Jacqueline 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 Jacqueline Gray accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jacqueline 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.

Is Jacqueline Gray affiliated with any hospitals?

According to CMS data, Jacqueline Gray is affiliated with Clark Memorial Hospital and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Jacqueline Gray was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.