KARA GRAY APRN; NP-C; FNP
NPI 1558845222
Nurse Practitioner - Family in South Charleston, WV

Active since September 19, 2018PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
4607 MACCORKLE AVE SW STE 406, SOUTH CHARLESTON, WV 25309(304) 766-4342(304) 766-3541 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 27, 2020, Sep 19, 2018 (2 updates tracked since 2018).

About Kara Gray Aprn; Np-c; Fnp NPPES

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

KARA GRAY APRN; NP-C; FNP (NPI 1558845222) is an individual family provider in South Charleston, West Virginia, licensed in West Virginia (79978) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558845222
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARA GRAYCredential: APRN; NP-C; FNP
Location Address4607 MACCORKLE AVE SW STE 406South Charleston, WV 25309-1364
Mailing Address4607 Maccorkle Ave Sw Ste 406South Charleston, WV 25309-1364 · (304) 766-4342 · Fax (304) 766-3541
Fax(304) 766-3541
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 19, 2018
Last NPPES UpdateJanuary 27, 20202 updates tracked since enumeration
NPI 1558845222 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 WV · 79978
4607 MACCORKLE AVE SW STE 406, South Charleston, WV 25309

Other Names 1

Former Name (1)Kara Busse

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

Kara Gray Aprn; Np-c; Fnp 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 ID4284979527
PECOS Enrollment IDI20181214001578
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services44 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.
35 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Gastroenterology)
4607 MACCORKLE AVE SW STE 406
SOUTH CHARLESTON, WV 25309
Internal Medicine (Gastroenterology)
4607 MACCORKLE AVE SW STE 406
SOUTH CHARLESTON, WV 25309
Internal Medicine (Gastroenterology)
4607 MACCORKLE AVE SW STE 406
SOUTH CHARLESTON, WV 25309
Nurse Practitioner
4607 MACCORKLE AVE SW STE 406
SOUTH CHARLESTON, WV 25309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558845222, enumerated as an "individual" on September 19, 2018.

The provider is located at 4607 MACCORKLE AVE SW STE 406 SOUTH CHARLESTON, WV 25309 and the phone number is (304) 766-4342.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: CareSource and Highmark Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.

Kara Gray is affiliated with: CHARLESTON AREA MEDICAL CENTER.