1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Nurse Practitioner
  6. NPI Profile

ALICIA GRAY
NPI 1508600677
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

Active since June 24, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2024, Jun 24, 2024 (2 updates tracked since 2024).

About Alicia Gray NPPES

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

ALICIA GRAY (NPI 1508600677) is an individual psychiatric/mental health provider in Boston, Massachusetts, licensed in Massachusetts (RN2311177) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508600677
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALICIA GRAY
Location Address12 EDWIN STBoston, MA 02124-2510
Mailing Address235 Wellesley StWeston, MA 02493-1572 · (617) 446-3570
Phone(617) 446-3570
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 24, 2024
Last NPPES UpdateOctober 5, 20252 updates tracked since enumeration
NPPES CertifiedOctober 5, 2025
✔ NPI 1508600677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2311177
12 EDWIN ST, Boston, MA 02124
Open in Google Maps ↗

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

Alicia Gray 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 ID4789165028
PECOS Enrollment IDI20260224004351
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 02124 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 Alicia Gray's NPI number?

The NPI number for Alicia Gray is 1508600677. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Alicia Gray located?

Alicia Gray practices at 12 Edwin St, Boston, MA 02124. The listed phone number is (617) 446-3570.

What is Alicia Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alicia Gray enrolled in Medicare?

Yes. Alicia 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.

When was this NPI record last updated?

The NPPES record for Alicia Gray was last updated on October 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.