COURTNEY GRAY
NPI 1972140630
Nurse Practitioner - Family in Texarkana, TX

Active since December 02, 2019PECOS EnrolledAccepts Medicare Assignment
2604 SAINT MICHAEL DR STE 345, TEXARKANA, TX 75503(903) 838-5500 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2023, Dec 2, 2019 (2 updates tracked since 2019).

About Courtney Gray NPPES

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

COURTNEY GRAY (NPI 1972140630) is an individual family provider in Texarkana, Texas, licensed in Texas (AP142833) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972140630
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY GRAY
Location Address2604 SAINT MICHAEL DR STE 345Texarkana, TX 75503-2378
Mailing Address2604 Saint Michael Dr Ste 345Texarkana, TX 75503-2378 · (903) 838-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 2, 2019
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
NPI 1972140630 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 TX · AP142833
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP142833 (TX)
2604 SAINT MICHAEL DR STE 345, Texarkana, TX 75503

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

Courtney Gray 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 ID7911333638
PECOS Enrollment IDI20200128002404
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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
514 services431 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
350 services321 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
238 services220 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
197 services186 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
73 services73 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
73 services73 patients

Hospital Affiliations CMS Care Compare

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

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 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.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Cardiovascular Disease)
2604 SAINT MICHAEL DR STE 345
TEXARKANA, TX 75503
Internal Medicine (Cardiovascular Disease)
2604 SAINT MICHAEL DR STE 345
TEXARKANA, TX 75503
Internal Medicine (Cardiovascular Disease)
2604 SAINT MICHAEL DR STE 345
TEXARKANA, TX 75503
Nurse Practitioner (Acute Care)
2604 SAINT MICHAEL DR STE 345
TEXARKANA, TX 75503
Nurse Practitioner (Acute Care)
2604 SAINT MICHAEL DR STE 345
TEXARKANA, TX 75503

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 Courtney Gray's NPI number?

The NPI number for Courtney Gray is 1972140630. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Courtney Gray located?

Courtney Gray practices at 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503. The listed phone number is (903) 838-5500.

What is Courtney Gray's specialty?

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

Is Courtney Gray enrolled in Medicare?

Yes. Courtney 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 Courtney Gray accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 8 other insurers list Courtney 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.

Is Courtney Gray affiliated with any hospitals?

According to CMS data, Courtney Gray is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Courtney Gray was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.