DARIEN GRAY APRN
NPI 1700777166
Nurse Practitioner - Family in Bloomington, IL
About Darien Gray Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARIEN GRAY APRN (NPI 1700777166) is an individual family provider in Bloomington, Illinois, licensed in Illinois (209.032721) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Saint James Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Darien 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.
Medicare Billing Reassignments
2Medicare enrollment records show Darien Gray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton, IL 61727
- Reassigned Medicare billing, Illinois enrollment
- 130 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint James Hospital
Acute Care Hospitals · Pontiac, ILSt Joseph Medical Center
Acute Care Hospitals · Bloomington, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Darien Gray's NPI number?
The NPI number for Darien Gray is 1700777166. It was assigned to this individual provider in the NPPES registry on July 14, 2025.
Where is Darien Gray located?
Darien Gray practices at 1001 Rivian Mtwy, Bloomington, IL 61705. The listed phone number is (309) 828-0806.
What is Darien Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Darien Gray enrolled in Medicare?
Yes. Darien 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.
Which organizations bill Medicare for Darien Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Darien Gray reassigns Medicare benefits to 2 organizations: Saint James Hospital (Clinton, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 Darien Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Darien Gray affiliated with any hospitals?
According to CMS data, Darien Gray is affiliated with Saint James Hospital and St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Darien Gray was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Darien Gray, APRN · NPI 1700777166
Family physician in Bloomington, Illinois. Individual provider, active in the CMS NPPES registry since July 14, 2025.
## Identity
- **NPI:** 1700777166 (Entity type: Individual)
- **Enumerated:** July 14, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.032721 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 RIVIAN MTWY, Bloomington, IL 61705-2501
- **Phone:** (309) 828-0806
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint James Hospital (NPI 1356058119, Clinton, IL); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700777166) · Data from the CMS NPPES public registry.