RONI S. GRAY APRN
NPI 1952445702
Nurse Practitioner - Family in Omaha, NE

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
4220 L ST, OMAHA, NE 68107(402) 733-4433(402) 733-1220 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roni S. Gray Aprn NPPES

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

RONI S. GRAY APRN (NPI 1952445702) is an individual family provider in Omaha, Nebraska, licensed in Nebraska (110805) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Omaha, and is a graduate of Creighton University School Of Medicine (2006).

NPPES Registry Identity

NPI1952445702
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRONI S. GRAYCredential: APRN
Location Address4220 L STOmaha, NE 68107
Mailing Address7261 Mercy RdOmaha, NE 68124-2311 · (402) 733-4433
Fax(402) 733-1220
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2006
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 5, 2019
NPI 1952445702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NE · 110805
Also ListedNurse PractitionerTaxonomy 363L00000X · License 110805 (NE)
4220 L ST, Omaha, NE 68107

Secondary Practice Location 1

Location 1720 N 87th StOmaha, NE 68114-2852 · Phone (402) 354-7210

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

Roni S. Gray Aprn 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 ID1759556632
PECOS Enrollment IDI20111205000036
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 68107 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 19

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

Physician Assistant
4220 L ST
OMAHA, NE 68107
Nurse Practitioner (Family)
4220 L ST
OMAHA, NE 68107
Nurse Practitioner (Family)
4220 L ST
OMAHA, NE 68107
Nurse Practitioner (Family)
4220 L ST
OMAHA, NE 68107
Pharmacist
4220 L ST
OMAHA, NE 68107
Internal Medicine
4220 L ST, SUITE 100
OMAHA, NE 68107
Pharmacy (Community/Retail Pharmacy)
4220 L ST
OMAHA, NE 68107
Family Medicine
4220 L ST
OMAHA, NE 68107

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 Roni Gray's NPI number?

The NPI number for Roni Gray is 1952445702. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Roni Gray located?

Roni Gray practices at 4220 L St, Omaha, NE 68107. The listed phone number is (402) 733-4433.

What is Roni Gray's specialty?

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

Is Roni Gray enrolled in Medicare?

Yes. Roni 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 Roni Gray accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Roni 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 Roni Gray was last updated on August 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.