ALISA B BRAY APRN
NPI 1720620065
Nurse Practitioner - Family in Willimantic, CT
About Alisa B Bray Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISA B BRAY APRN (NPI 1720620065) is an individual family provider in Willimantic, Connecticut, licensed in Connecticut (8551) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alisa B Bray Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Alisa Bray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
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 Alisa Bray's NPI number?
The NPI number for Alisa Bray is 1720620065. It was assigned to this individual provider in the NPPES registry on October 8, 2019.
Where is Alisa Bray located?
Alisa Bray practices at 112 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 456-9116.
What is Alisa Bray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alisa Bray enrolled in Medicare?
Yes. Alisa Bray is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alisa Bray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Bray reassigns Medicare benefits to 2 organizations: Windham Community Memorial Hospital, Inc. (Willimantic, CT) and William W Backus Hospital (Norwich, CT). 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 Alisa Bray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alisa Bray was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Alisa B Bray, APRN · NPI 1720620065
Family physician in Willimantic, Connecticut. Individual provider, active in the CMS NPPES registry since October 8, 2019.
## Identity
- **NPI:** 1720620065 (Entity type: Individual)
- **Enumerated:** October 8, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8551 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 112 MANSFIELD AVE, Willimantic, CT 06226-2045
- **Phone:** (860) 456-9116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Windham Community Memorial Hospital, Inc. (NPI 1023191467, Willimantic, CT); William W Backus Hospital (NPI 1730243536, Norwich, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1720620065) · Data from the CMS NPPES public registry.