NPIMap

Individual provider Active NPI

Deborah Lynn Bray, APRN

  • Clinical Nurse Specialist
  • Paducah, KY
National Provider Identifier
1134433931
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
3006573 Issued in KY
Practice address
1532 Lone Oak Rd
Suite 415
Paducah, KY 42003-7913
Phone
(270) 442-0103
Fax
(270) 442-0109
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 3006573 KY Primary

Addresses

Primary practice location

1532 Lone Oak Rd
Suite 415
Paducah, KY 42003-7913

Mailing address

PO Box 636961
Cincinnati, OH 45263-6961
Phone (888) 696-3541

Other identifiers 1

IdentifierTypeStateIssuer
7100211590MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000061 KY Practitioner - Certified Clinical Nurse Specialist (CNS) 5698962231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians
Mercy Health-Lourdes Hospital LLCGroup PAC ID 7315831666, 12 clinicians

Practice addresses (Care Compare)

1532 Lone Oak Rd
Suite 415
Paducah, KY 42003-7943
Phone (270) 442-0103

83 Wellness Way
Benton, KY 42025-7156

Hospital & facility affiliations

  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Marshall County Hospital Hospital, Benton, KY, CCN 181327
  • Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116
  • Trigg County Hospital Hospital, Cadiz, KY, CCN 181304

Merit-based Incentive Payment System (MIPS)

Final score
90.87 of 100Reported as individual
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
76.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3006573KYMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health-Lourdes Hospital LLC CurrentSince May 29, 2024 Accepting new patients
Mercy Health-Lourdes Hospital LLC CurrentSince May 29, 2024 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health-Lourdes Hospital LLC Current Accepting new patients
Western Baptist Medical Ventures, Inc. Past Accepting new patients

Locations

83 Wellness Way
#2
Benton, KY 42025
Phone (270) 527-0045

83 Wellness Way
Ste 101201
Benton, KY 42025
Phone (270) 527-0045

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

1532 Lone Oak Rd
Ste 415
Paducah, KY 42003

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1134433931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636961",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636961",
            "telephone_number": "888-696-3541",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD",
            "address_2": "SUITE 415",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037913",
            "telephone_number": "270-442-0103",
            "fax_number": "270-442-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "KY",
            "license": "3006573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100211590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.