EBONIE GRAY RN, APNP, FNP-BC
NPI 1982840757
Nurse Practitioner - Family in Kenosha, WI
About Ebonie Gray Rn, Apnp, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONIE GRAY RN, APNP, FNP-BC (NPI 1982840757) is an individual family provider in Kenosha, Wisconsin, licensed in Wisconsin (4309-33) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 (PECOS)
Ebonie Gray Rn, Apnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53144 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENOSHA, WI 53144
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 Ebonie Gray's NPI number?
The NPI number for Ebonie Gray is 1982840757. It was assigned to this individual provider in the NPPES registry on December 30, 2008.
Where is Ebonie Gray located?
Ebonie Gray practices at 3710 57th Ave, Kenosha, WI 53144. The listed phone number is (262) 652-1474.
What is Ebonie Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ebonie Gray enrolled in Medicare?
Yes. Ebonie Gray is registered in the Medicare PECOS enrollment system.
What insurance does Ebonie Gray accept?
Health plans from Medica list Ebonie 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 Ebonie Gray was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ebonie Gray, RN, APNP, FNP-BC · NPI 1982840757
Family physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since December 30, 2008.
## Identity
- **NPI:** 1982840757 (Entity type: Individual)
- **Enumerated:** December 30, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4309-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3710 57TH AVE, Kenosha, WI 53144-4820
- **Phone:** (262) 652-1474
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1982840757) · Data from the CMS NPPES public registry.