NICODEE SIMONE GRAY-BROOKS
NPI 1710540554
Nurse Practitioner - Family in Mount Vernon, NY
About Nicodee Simone Gray-brooks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICODEE SIMONE GRAY-BROOKS (NPI 1710540554) is an individual family provider in Mount Vernon, New York, licensed in New York (344329) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Nicodee Simone Gray-brooks 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 Nicodee Gray-brooks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Haven, CT 06513
- Reassigned Medicare billing, Connecticut enrollment
- 35 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Connecticut enrollment
- 79 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 10550 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT VERNON, NY 10550
MOUNT VERNON, NY 10550
MOUNT VERNON, NY 10550
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 Nicodee Gray-brooks's NPI number?
The NPI number for Nicodee Gray-brooks is 1710540554. It was assigned to this individual provider in the NPPES registry on April 17, 2019.
Where is Nicodee Gray-brooks located?
Nicodee Gray-brooks practices at 153 Stevens Ave, Mount Vernon, NY 10550. The listed phone number is (914) 668-8080.
What is Nicodee Gray-brooks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicodee Gray-brooks enrolled in Medicare?
Yes. Nicodee Gray-brooks 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 Nicodee Gray-brooks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicodee Gray-brooks reassigns Medicare benefits to 2 organizations: Ct Medical Group Inc. (East Haven, CT) and Matrix Medical Plus (Nashville, TN). 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 Nicodee Gray-brooks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicodee Gray-brooks accept?
Health plans from Anthem Blue Cross and Blue Shield list Nicodee Gray-brooks 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 Nicodee Gray-brooks was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Nicodee Simone Gray-Brooks · NPI 1710540554
Family physician in Mount Vernon, New York. Individual provider, active in the CMS NPPES registry since April 17, 2019.
## Identity
- **NPI:** 1710540554 (Entity type: Individual)
- **Enumerated:** April 17, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 344329 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 153 STEVENS AVE, Mount Vernon, NY 10550-2543
- **Phone:** (914) 668-8080
## 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): Ct Medical Group Inc. (NPI 1962265934, East Haven, CT); Matrix Medical Plus (NPI 1376973461, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1710540554) · Data from the CMS NPPES public registry.