Kaylene Lynn Gray, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R180632 Issued in MD

Practice address

1027 Memorial Dr
Oakland, MD 21550-4343

Phone

(301) 533-3300

Fax

(301) 533-3299

NPI assigned

Nov 2, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kaylene Lynn O'Rourke Former name

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, shared by 6 NPIs, 90 clinicians

Steeple City Psychological Services LLCGroup PAC ID 4587982996, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgray124876@direct.wvuhsdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Steeple City Psychological Services, LLC

  • Clinical Psychologist
  • Lavale, MD
  • NPI 1649675992
  Medicare reassignment Care Compare group NPD
• Potomac Valley Hospital of W VA , Inc

  • Emergency Medicine Physician
  • Keyser, WV
  • NPI 1316054919
  Medicare reassignment NPD
• Potomac Valley Hospital of W VA , Inc

  • Critical Access Hospital
  • Keyser, WV
  • NPI 1912979873
  Medicare reassignment NPD
• Potomac Valley Hospital of WV, Inc.

  • Internal Medicine Physician
  • Keyser, WV
  • NPI 1578305256
  NPD
• Western Maryland Health Care Corporation

  • Federally Qualified Health Center (FQHC)
  • Bruceton Mills, WV
  • NPI 1679269807
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Potomac Valley Hospital of W VA , Inc

  • Critical Access Hospital
  • Keyser, WV
  • NPI 1912979873
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1053076315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15000 Brant Rd SW",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215025734",
            "country_code": "US",
            "telephone_number": "301-707-9546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "MD",
            "postal_code": "215361086",
            "country_code": "US",
            "telephone_number": "301-895-5107",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22221 Westernport Rd SW",
            "address_purpose": "LOCATION",
            "city": "Westernport",
            "state": "MD",
            "postal_code": "215622206",
            "country_code": "US",
            "telephone_number": "240-774-0204",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KAYLENE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R180632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLENE",
            "last_name": "O'ROURKE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Greggs Pharmacy Inc
• Greggs Pharmacy Inc

• Psychiatric/Mental Health Nurse Practitioner in Oakland, MD
• Providers in Oakland, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.