Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEQUITTA GRAY REGISTERED NURSE
NPI 1851102156
Nurse Practitioner in Flint, MI

Active since January 15, 2025PECOS Enrolled
G3375 S SAGINAW ST, FLINT, MI 48529(810) 406-4246 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Nov 10, 2025, Sep 19, 2025 (3 updates tracked since 2025).

About Jequitta Gray Registered Nurse NPPES

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

JEQUITTA GRAY REGISTERED NURSE (NPI 1851102156) is an individual nurse practitioner in Flint, Michigan, licensed in Michigan (4704315561) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1851102156
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJEQUITTA GRAYCredential: REGISTERED NURSE
Location AddressG3375 S SAGINAW STFlint, MI 48529-1277
Mailing AddressG3375 S Saginaw StFlint, MI 48529-1277 · (810) 406-4246
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 15, 2025
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1851102156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704315561
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704315561 (MI)
G3375 S SAGINAW ST, Flint, MI 48529

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jequitta Gray Registered Nurse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436643624
PECOS Enrollment IDI20251215003324
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 48529 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 13

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

Nurse Practitioner (Family)
G3375 S SAGINAW ST
FLINT, MI 48529
Podiatrist (Foot & Ankle Surgery)
G3375 S SAGINAW ST
FLINT, MI 48529
Community Health Worker
G3375 S SAGINAW ST
BURTON, MI 48529
Dental Hygienist
G3375 S SAGINAW ST
BURTON, MI 48529
Student in an Organized Health Care Education/Training Program
G3375 S SAGINAW ST
FLINT, MI 48529
Internal Medicine
G3375 S SAGINAW ST
FLINT, MI 48529
Physician Assistant (Medical)
G3375 S SAGINAW ST
BURTON, MI 48529
Physician Assistant
G3375 S SAGINAW ST
BURTON, MI 48529

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 Jequitta Gray's NPI number?

The NPI number for Jequitta Gray is 1851102156. It was assigned to this individual provider in the NPPES registry on January 15, 2025.

Where is Jequitta Gray located?

Jequitta Gray practices at G3375 S Saginaw St, Flint, MI 48529. The listed phone number is (810) 406-4246.

What is Jequitta Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jequitta Gray enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jequitta Gray was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.