ELISHA BROOK WRAY FNP-C
NPI 1619657822
Nurse Practitioner - Family in Dexter, MO

Active since July 21, 2023PECOS EnrolledAccepts Medicare Assignment
1212 SAINT FRANCIS DR, DEXTER, MO 63841(573) 614-3600(573) 614-3601 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2023, Jul 21, 2023 (2 updates tracked since 2023).

About Elisha Brook Wray Fnp-c NPPES

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

ELISHA BROOK WRAY FNP-C (NPI 1619657822) is an individual family provider in Dexter, Missouri, licensed in Missouri (2023029046) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Stoddard, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619657822
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELISHA BROOK WRAYCredential: FNP-C
Location Address1212 SAINT FRANCIS DRDexter, MO 63841-2769
Mailing AddressPo Box 801143Kansas City, MO 64180-1143 · (573) 331-5583 · Fax (573) 331-5079
Fax(573) 614-3601
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 21, 2023
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
NPI 1619657822 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 MO · 2023029046
1212 SAINT FRANCIS DR, Dexter, MO 63841

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

Elisha Brook Wray 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 ID7214381375
PECOS Enrollment IDI20230925000771
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

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.

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.
58 services52 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Stoddard

Acute Care Hospitals · Dexter, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260160
Location1200 N One Mile RdDexter, MO 63841 · Stoddard County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63841 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 9

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

Clinic/Center
1212 SAINT FRANCIS DR
DEXTER, MO 63841
Nurse Practitioner (Family)
1212 SAINT FRANCIS DR
DEXTER, MO 63841
Clinic/Center (Rural Health)
1212 SAINT FRANCIS DR
DEXTER, MO 63841
Psychologist (Clinical)
1212 SAINT FRANCIS DR
DEXTER, MO 63841
Physical Therapist
1212 SAINT FRANCIS DR
DEXTER, MO 63841
Nurse Practitioner (Family)
1212 SAINT FRANCIS DR
DEXTER, MO 63841
Physical Therapist
1212 SAINT FRANCIS DR
DEXTER, MO 63841
Nurse Practitioner (Family)
1212 SAINT FRANCIS DR
DEXTER, MO 63841

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 Elisha Wray's NPI number?

The NPI number for Elisha Wray is 1619657822. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Where is Elisha Wray located?

Elisha Wray practices at 1212 Saint Francis Dr, Dexter, MO 63841. The listed phone number is (573) 614-3600.

What is Elisha Wray's specialty?

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

Is Elisha Wray enrolled in Medicare?

Yes. Elisha 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 Elisha Wray accept?

Health plans from UnitedHealthcare list Elisha 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.

Is Elisha Wray affiliated with any hospitals?

According to CMS data, Elisha Wray is affiliated with Mercy Hospital Stoddard and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Elisha Wray was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.