MRS. MARY HELEN GRAY R.N., N.P
NPI 1487692448
Nurse Practitioner - Adult Health in St. Louis Park, MN

Q: What is Mary Gray's NPI number?

The NPI number for Mary Gray is 1487692448. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Mary Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Gray was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 03, 2006PECOS Enrolled

5775 WAYZAYA BLVD, SUITE 190, ST. LOUIS PARK, MN 55416(952) 738-4623 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Mary Helen Gray R.n., N.p NPPES

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

MRS. MARY HELEN GRAY R.N., N.P (NPI 1487692448) is an individual adult health provider in St. Louis Park, Minnesota, licensed in Minnesota (2006005436) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1487692448

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. MARY HELEN GRAYCredential: R.N., N.P

Location Address5775 WAYZAYA BLVD, SUITE 190St. Louis Park, MN 55416

Mailing Address5775 Wayzata Blvd Ste 190St Louis Park, MN 55416-2627 · (952) 738-4623 · Fax (952) 738-4622

Phone(952) 738-4623

Sole ProprietorNo

Enumeration DateJune 3, 2006

Last NPPES UpdateAugust 16, 2018

✔ NPI 1487692448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MN · 2006005436

Also ListedRegistered NurseTaxonomy 163W00000X · License R 149240 0 (MN)

5775 WAYZAYA BLVD, St. Louis Park, MN 55416

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Secondary Practice Location 1

Location 1920 E 28th St Ste 300Minneapolis, MN 55407-1195 · Phone (952) 944-3472

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Helen Gray R.n., N.p 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 55416 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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 Mary Gray's NPI number?

The NPI number for Mary Gray is 1487692448. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Mary Gray located?

Mary Gray practices at 5775 Wayzaya Blvd Suite 190, St. Louis Park, MN 55416. The listed phone number is (952) 738-4623.

What is Mary Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Gray enrolled in Medicare?

Yes. Mary Gray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Gray was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.