PAMELA NICOLE RAY NP
NPI 1871126029
Nurse Practitioner - Family in Tyler, TX

Q: What is Pamela Ray's NPI number?

The NPI number for Pamela Ray is 1871126029. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Q: What is Pamela Ray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pamela Ray was last updated on February 17, 2020. 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.

Active since February 17, 2020PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

912 S FLEISHEL AVE, TYLER, TX 75701(903) 592-6901(903) 595-2571 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Pamela Nicole Ray Np NPPES

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

PAMELA NICOLE RAY NP (NPI 1871126029) is an individual family provider in Tyler, Texas, licensed in Texas (AP145140) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1871126029

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePAMELA NICOLE RAYCredential: NP

Location Address912 S FLEISHEL AVETyler, TX 75701-2018

Mailing Address912 S Fleishel AveTyler, TX 75701-2018 · (903) 592-6901 · Fax (903) 595-2571

Phone(903) 592-6901

Fax(903) 595-2571

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 17, 2020

✔ NPI 1871126029 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 TX · AP145140

912 S FLEISHEL AVE, Tyler, TX 75701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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

Pamela Nicole Ray Np 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 ID6608204599

PECOS Enrollment IDI20200306000611

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450083

Location1000 South Beckham AveTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

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