HANNAH GRAY FNP
NPI 1669889457
Nurse Practitioner - Family in De Kalb, MS
About Hannah Gray Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HANNAH GRAY FNP (NPI 1669889457) is an individual family provider in De Kalb, Mississippi, licensed in Mississippi (R882611) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Meridian.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hannah Gray Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Hannah Gray reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
De Kalb, MS 39328
- Reassigned Medicare billing, Mississippi and Alabama enrollments
- Also billed through NPI 1982040317 (Alabama)
- 91 clinicians in this Medicare group
Collinsville, MS 39325
- Reassigned Medicare billing, Mississippi enrollment
- 106 clinicians in this Medicare group
Meridian, MS 39305
- Reassigned Medicare billing, Mississippi enrollment
- 93 clinicians in this Medicare group
Meridian, MS 39301
- Reassigned Medicare billing, Mississippi enrollment
- 173 clinicians in this Medicare group
Meridian, MS 39301
- Reassigned Medicare billing, Mississippi enrollment
- 349 clinicians in this Medicare group
Lake, MS 39092
- Reassigned Medicare billing, Mississippi enrollment
- 57 clinicians in this Medicare group
Memphis, TN 38119
- Reassigned Medicare billing, Mississippi enrollment
- 81 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DE KALB, MS 39328
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 Hannah Gray's NPI number?
The NPI number for Hannah Gray is 1669889457. It was assigned to this individual provider in the NPPES registry on July 14, 2014.
Where is Hannah Gray located?
Hannah Gray practices at 201 Birch St, De Kalb, MS 39328. The listed phone number is (601) 743-2643.
What is Hannah Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hannah Gray enrolled in Medicare?
Yes. Hannah Gray is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Hannah Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hannah Gray reassigns Medicare benefits to 7 organizations: Kemper Cah, Inc. (De Kalb, MS), Laird Hospital, Inc (Collinsville, MS), Rush Medical Foundation (Meridian, MS), Anderson Physician Alliance, Inc. (Meridian, MS), Medical Foundation, Inc. (Meridian, MS) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hannah Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hannah Gray accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare and UnitedHealthcare list Hannah Gray 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 Hannah Gray was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Hannah Gray, FNP · NPI 1669889457
Family physician in De Kalb, Mississippi. Individual provider, active in the CMS NPPES registry since July 14, 2014.
## Identity
- **NPI:** 1669889457 (Entity type: Individual)
- **Enumerated:** July 14, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R882611 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 BIRCH ST, De Kalb, MS 39328-8017
- **Phone:** (601) 743-2643 · **Fax:** (601) 553-8175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Kemper Cah, Inc. (NPI 1912348616, De Kalb, MS); Laird Hospital, Inc (NPI 1073959375, Collinsville, MS); Rush Medical Foundation (NPI 1891393435, Meridian, MS); Anderson Physician Alliance, Inc. (NPI 1760798227, Meridian, MS); Medical Foundation, Inc. (NPI 1609820539, Meridian, MS); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 03486259 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1669889457) · Data from the CMS NPPES public registry.