MICHAEL SHANE GRAY APRN
NPI 1679292866
Nurse Practitioner - Family in Hopkinsville, KY

Active since August 23, 2022PECOS EnrolledAccepts Medicare Assignment
10755 EAGLE WAY, HOPKINSVILLE, KY 42240(270) 887-0270 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Shane Gray Aprn NPPES

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

MICHAEL SHANE GRAY APRN (NPI 1679292866) is an individual family provider in Hopkinsville, Kentucky, licensed in Kentucky (3018060) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679292866
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL SHANE GRAYCredential: APRN
Location Address10755 EAGLE WAYHopkinsville, KY 42240-8742
Mailing Address320 W 18th StHopkinsville, KY 42240-1965 · (270) 887-0100
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
NPI 1679292866 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 KY · 3018060
10755 EAGLE WAY, Hopkinsville, KY 42240

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

Michael Shane Gray Aprn 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 ID6305213976
PECOS Enrollment IDI20221110002536
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 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.
232 services206 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.
77 services75 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services33 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.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180051
Location320 West 18th StreetHopkinsville, KY 42240 · Christian County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42240 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

Otolaryngology
10755 EAGLE WAY
HOPKINSVILLE, KY 42240
Nurse Practitioner (Family)
10755 EAGLE WAY
HOPKINSVILLE, KY 42240
Occupational Therapist
10755 EAGLE WAY
HOPKINSVILLE, KY 42240

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 Gray's NPI number?

The NPI number for Michael Gray is 1679292866. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Michael Gray located?

Michael Gray practices at 10755 Eagle Way, Hopkinsville, KY 42240. The listed phone number is (270) 887-0270.

What is Michael Gray's specialty?

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

Is Michael Gray enrolled in Medicare?

Yes. Michael Gray 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.

Is Michael Gray affiliated with any hospitals?

According to CMS data, Michael Gray is affiliated with Jennie Stuart Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Gray was last updated on August 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.