RANDALL GRAY PMHNP-BC
NPI 1912718768
Nurse Practitioner - Psychiatric/Mental Health in Anderson, IN
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Randall Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46229
- Reassigned Medicare billing, Indiana enrollment
- 153 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.
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.
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.
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.
Which organization bills Medicare for Randall Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Gray reassigns Medicare benefits to Jane Pauley Community Health Center Inc (Indianapolis, IN). The 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 Randall Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Gray accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer 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 12 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.
# Randall Gray, PMHNP-BC · NPI 1912718768
Psychiatric/Mental Health physician in Anderson, Indiana. Individual provider, active in the CMS NPPES registry since January 20, 2025.
## Identity
- **NPI:** 1912718768 (Entity type: Individual)
- **Enumerated:** January 20, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 28158270C (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1229 LINCOLN ST, Anderson, IN 46016-1693
- **Phone:** (765) 313-9850 · **Fax:** (765) 649-9185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jane Pauley Community Health Center Inc (NPI 1730488818, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912718768) · Data from the CMS NPPES public registry.