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MRS. DIAN SUDENE GRAY FNP
NPI 1710704580
Nurse Practitioner - Family in Moorhead, MN

Active since September 24, 2024PECOS Enrolled
803 BELSLY BLVD, MOORHEAD, MN 56560(218) 236-7145 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2026, Sep 24, 2024 (2 updates tracked since 2024).

About Mrs. Dian Sudene Gray Fnp NPPES

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

MRS. DIAN SUDENE GRAY FNP (NPI 1710704580) is an individual family provider in Moorhead, Minnesota, licensed in Minnesota (13709) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2024).

NPPES Registry Identity

NPI1710704580
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DIAN SUDENE GRAYCredential: FNP
Location Address803 BELSLY BLVDMoorhead, MN 56560-5057
Mailing Address803 Belsly BlvdMoorhead, MN 56560-5057 · (218) 236-7145
Phone(218) 236-7145
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2024
Enumeration DateSeptember 24, 2024
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1710704580 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 MN · 13709
803 BELSLY BLVD, Moorhead, MN 56560
Open in Google Maps ↗

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 (PECOS)

Mrs. Dian Sudene Gray Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759850498
PECOS Enrollment IDI20260512002482
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 56560 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

DR. RACHEL L FALEIDE FNP
Nurse Practitioner (Women's Health)
803 BELSLY BLVD
MOORHEAD, MN 56560
Clay County (218) 236-7145
PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA
Specialist
803 BELSLY BLVD
MOORHEAD, MN 56560
Clay County (218) 236-7145
ELIZABETH SCHROEDER FNP-C
Nurse Practitioner (Family)
803 BELSLY BLVD
MOORHEAD, MN 56560
Clay County (218) 236-7145

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 Dian Gray's NPI number?

The NPI number for Dian Gray is 1710704580. It was assigned to this individual provider in the NPPES registry on September 24, 2024.

Where is Dian Gray located?

Dian Gray practices at 803 Belsly Blvd, Moorhead, MN 56560. The listed phone number is (218) 236-7145.

What is Dian Gray's specialty?

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

Is Dian Gray enrolled in Medicare?

Yes. Dian Gray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dian Gray was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.