MRS. KATHY MICHELLE O'CONNOR-WRAY DNP, APN, FNP-C
NPI 1528241999
Nurse Practitioner - Family in Jackson, TN

Active since December 08, 2007PECOS EnrolledAccepts Medicare Assignment
8 STONEBRIDGE BLVD STE M, JACKSON, TN 38305(731) 265-6197(731) 265-6198 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Dec 20, 2020, Jun 22, 2018 (3 updates tracked since 2018).

About Mrs. Kathy Michelle O'connor-wray Dnp, Apn, Fnp-c NPPES

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

MRS. KATHY MICHELLE O'CONNOR-WRAY DNP, APN, FNP-C (NPI 1528241999) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (12767) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1528241999
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHY MICHELLE O'CONNOR-WRAYCredential: DNP, APN, FNP-C
Location Address8 STONEBRIDGE BLVD STE MJackson, TN 38305-2178
Mailing Address107 Pepper Tree RdJackson, TN 38305-8865 · (731) 225-3639 · Fax (731) 265-6198
Fax(731) 265-6198
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 8, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
NPI 1528241999 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 TN · 12767
8 STONEBRIDGE BLVD STE M, Jackson, TN 38305

Other Identifiers 1

Medicaid1529265TN

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

Mrs. Kathy Michelle O'connor-wray Dnp, Apn, Fnp-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 ID5193971174
PECOS Enrollment IDI20120807000349
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 5

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
89 services44 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
46 services45 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
32 services27 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
23 services23 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
34%47 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%83 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
8%25 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
8 STONEBRIDGE BLVD STE M
JACKSON, TN 38305

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 Kathy O'connor-wray's NPI number?

The NPI number for Kathy O'connor-wray is 1528241999. It was assigned to this individual provider in the NPPES registry on December 8, 2007.

Where is Kathy O'connor-wray located?

Kathy O'connor-wray practices at 8 Stonebridge Blvd Ste M, Jackson, TN 38305. The listed phone number is (731) 265-6197.

What is Kathy O'connor-wray's specialty?

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

Is Kathy O'connor-wray enrolled in Medicare?

Yes. Kathy O'connor-wray 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 Kathy O'connor-wray accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Kathy O'connor-wray 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 Kathy O'connor-wray was last updated on July 21, 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.