NICODEE SIMONE GRAY-BROOKS
NPI 1710540554
Nurse Practitioner - Family in Mount Vernon, NY

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment
153 STEVENS AVE, MOUNT VERNON, NY 10550(914) 668-8080 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1710540554
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICODEE SIMONE GRAY-BROOKS
Location Address153 STEVENS AVEMount Vernon, NY 10550-2543
Mailing Address29 Adamson AveNorwalk, CT 06854-4601 · (914) 513-8684
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 17, 2019
NPI 1710540554 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 NY · 344329
153 STEVENS AVE, Mount Vernon, NY 10550

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

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.

PECOS PAC ID6204222458
PECOS Enrollment IDI20220815000476
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 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 15

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

Internal Medicine (Nephrology)
153 STEVENS AVE, SUITE 4
MOUNT VERNON, NY 10550
Ophthalmology
153 STEVENS AVE, SUITE 6
MOUNT VERNON, NY 10550
Ophthalmology
153 STEVENS AVE, SUITE 6
MOUNT VERNON, NY 10550
Ophthalmology
153 STEVENS AVE
MOUNT VERNON, NY 10550
Nurse Practitioner (Family)
153 STEVENS AVE
MOUNT VERNON, NY 10550
Clinic/Center (Primary Care)
153 STEVENS AVE, SUITE 4
MOUNT VERNON, NY 10550
Internal Medicine
153 STEVENS AVE, 2ND FLOOR, SUITE #7
MOUNT VERNON, NY 10550
Obstetrics & Gynecology
153 STEVENS AVE, SUITE 2
MT 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.

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.