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LAURA GRAY FNP-C
NPI 1902446503
Nurse Practitioner in Prescott, AZ

Active since January 10, 2020PECOS Enrolled
1000 WILLOW CREEK RD STE A, PRESCOTT, AZ 86301(928) 460-9866(928) 259-2885 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Jun 24, 2020, Jan 10, 2020 (3 updates tracked since 2020).

About Laura Gray Fnp-c NPPES

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

LAURA GRAY FNP-C (NPI 1902446503) is an individual nurse practitioner in Prescott, Arizona, licensed in Arizona (236320) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902446503
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAURA GRAYCredential: FNP-C
Location Address1000 WILLOW CREEK RD STE APrescott, AZ 86301-1645
Mailing AddressPo Box 4235Prescott, AZ 86302-4235 · (928) 460-9866 · Fax (928) 259-2885
Phone(928) 460-9866
Fax(928) 259-2885
Sole ProprietorYes
Enumeration DateJanuary 10, 2020
Last NPPES UpdateSeptember 30, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1902446503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · 236320
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.
1000 WILLOW CREEK RD STE A, Prescott, AZ 86301
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Other Names 1

Former Name (1)Laura D Wallace

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Gray Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$15.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$80.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

CORNERSTONE CAREGIVING WEST LLC
In Home Supportive Care
1000 WILLOW CREEK RD STE A
PRESCOTT, AZ 86301
Yavapai County (928) 493-1411

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 Laura Gray's NPI number?

The NPI number for Laura Gray is 1902446503. It was assigned to this individual provider in the NPPES registry on January 10, 2020. The provider is also known as Laura D Wallace.

Where is Laura Gray located?

Laura Gray practices at 1000 Willow Creek Rd Ste A, Prescott, AZ 86301. The listed phone number is (928) 460-9866.

What is Laura Gray's specialty?

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

Is Laura Gray enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Laura Gray was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.