RANDALL GRAY PMHNP-BC
NPI 1912718768
Nurse Practitioner - Psychiatric/Mental Health in Anderson, IN

Active since January 20, 2025PECOS EnrolledAccepts Medicare Assignment
1229 LINCOLN ST, ANDERSON, IN 46016(765) 313-9850(765) 649-9185 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randall Gray Pmhnp-bc NPPES

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

RANDALL GRAY PMHNP-BC (NPI 1912718768) is an individual psychiatric/mental health provider in Anderson, Indiana, licensed in Indiana (28158270C) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912718768
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRANDALL GRAYCredential: PMHNP-BC
Location Address1229 LINCOLN STAnderson, IN 46016-1693
Mailing Address729 W 4th St Apt 1Anderson, IN 46016-1197 · (765) 639-5788
Fax(765) 649-9185
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 20, 2025
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
NPI 1912718768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IN · 28158270C
1229 LINCOLN ST, Anderson, IN 46016

Accepted 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

Randall Gray Pmhnp-bc 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 ID4385133966
PECOS Enrollment IDI20251103001565
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 46016 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 8

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

Nurse Practitioner (Family)
1229 LINCOLN ST
ANDERSON, IN 46016
Nurse Practitioner (Psychiatric/Mental Health)
1229 LINCOLN ST
ANDERSON, IN 46016
Family Medicine
1229 LINCOLN ST
ANDERSON, IN 46016
Social Worker (Clinical)
1229 LINCOLN ST
ANDERSON, IN 46016
Psychologist
1229 LINCOLN ST
ANDERSON, IN 46016
Nurse Practitioner (Psychiatric/Mental Health)
1229 LINCOLN ST
ANDERSON, IN 46016
Local Education Agency (LEA)
1229 LINCOLN ST
ANDERSON, IN 46016
Psychologist
1229 LINCOLN ST
ANDERSON, IN 46016

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 Randall Gray's NPI number?

The NPI number for Randall Gray is 1912718768. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Randall Gray located?

Randall Gray practices at 1229 Lincoln St, Anderson, IN 46016. The listed phone number is (765) 313-9850.

What is Randall Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Randall Gray enrolled in Medicare?

Yes. Randall Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Gray accept?

Health plans from Anthem Blue Cross and Blue Shield list Randall Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Gray was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.