MICHAEL RAY FNP-BC
NPI 1679028468
Nurse Practitioner - Family in Gallup, NM

Active since August 22, 2016PECOS Enrolled
1900 E HISTORIC HIGHWAY 66 STE 1, GALLUP, NM 87301(505) 324-6300 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 12, 2023, Aug 22, 2016 (2 updates tracked since 2016).

About Michael Ray Fnp-bc NPPES

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

MICHAEL RAY FNP-BC (NPI 1679028468) is an individual family provider in Gallup, New Mexico, licensed in New Mexico (CNP-03028) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679028468
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL RAYCredential: FNP-BC
Location Address1900 E HISTORIC HIGHWAY 66 STE 1Gallup, NM 87301-4883
Mailing Address3436 Isleta Blvd SwAlbuquerque, NM 87105-5837 · (505) 462-7777
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 22, 2016
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1679028468 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 NM · CNP-03028
1900 E HISTORIC HIGHWAY 66 STE 1, Gallup, NM 87301

Secondary Practice Location 1

Location 13436 Isleta Blvd SWAlbuquerque, NM 87105-5837 · Phone (505) 462-7777

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Ray Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830487511
PECOS Enrollment IDI20161012001714
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Ray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
12 BIA 120, PO BOX 310
Pine Hill, NM 87357
  • Reassigned Medicare billing, New Mexico enrollment
  • 6 clinicians in this Medicare group
General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 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 87301 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$74.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Podiatrist
1900 E HISTORIC HIGHWAY 66 STE 1
GALLUP, NM 87301

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 Michael Ray's NPI number?

The NPI number for Michael Ray is 1679028468. It was assigned to this individual provider in the NPPES registry on August 22, 2016.

Where is Michael Ray located?

Michael Ray practices at 1900 E Historic Highway 66 Ste 1, Gallup, NM 87301. The listed phone number is (505) 324-6300.

What is Michael Ray's specialty?

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

Is Michael Ray enrolled in Medicare?

Yes. Michael Ray is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Ray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ray reassigns Medicare benefits to 2 organizations: Ramah Navajo School Board, Inc (Pine Hill, NM) and Presbyterian Healthcare Services (Albuquerque, NM). 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 Michael Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Ray was last updated on December 12, 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.