JACQUELINE BROWN GRAY
NPI 1700672177
Nurse Practitioner - Psychiatric/Mental Health in Riviera Beach, FL

Q: What is Jacqueline Gray's NPI number?

The NPI number for Jacqueline Gray is 1700672177. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Q: What is Jacqueline Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Gray was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 15, 2025PECOS EnrolledAccepts Medicare Assignment

45 BANDOL ST, RIVIERA BEACH, FL 33404(678) 600-0900 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Brown Gray NPPES

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

JACQUELINE BROWN GRAY (NPI 1700672177) is an individual psychiatric/mental health provider in Riviera Beach, Florida, licensed in Florida (APRN11037961) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cranston, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700672177

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJACQUELINE BROWN GRAY

Location Address45 BANDOL STRiviera Beach, FL 33404-2078

Mailing Address45 Bandol StRiviera Beach, FL 33404-2078

Phone(678) 600-0900

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 15, 2025

Last NPPES UpdateJanuary 9, 2026

NPPES CertifiedJanuary 9, 2026

✔ NPI 1700672177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · APRN11037961✔ Licensed in RI · APRN04839

45 BANDOL ST, Riviera Beach, FL 33404

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Secondary Practice Location 1

Location 11150 Reservoir Ave Ste 203Cranston, RI 02920-6032 · Phone (401) 259-0340 · Fax (401) 213-8538

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Jacqueline Brown Gray 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 ID8628555703

PECOS Enrollment IDI20260120003238

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33404 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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 Jacqueline Gray's NPI number?

The NPI number for Jacqueline Gray is 1700672177. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Jacqueline Gray located?

Jacqueline Gray practices at 45 Bandol St, Riviera Beach, FL 33404. The listed phone number is (678) 600-0900.

What is Jacqueline Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacqueline Gray enrolled in Medicare?

Yes. Jacqueline 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Gray was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.