Individual provider Active NPI

Hillary L Gray, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1629437504
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2016005195 Issued in MO
Practice address
2411 W Catalpa St
Springfield, MO 65807-1123
Phone
(417) 862-3455
Fax
(417) 864-4576
NPI assigned
Feb 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2016005195 MO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0136657 VT

Addresses

Primary practice location

2411 W Catalpa St
Springfield, MO 65807-1123

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5214

Other practice location 1

4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (636) 224-1700

Other practice location 2

3401 Berrywood Dr
Columbia, MO 65201-8372
Phone (573) 777-8330

Other practice location 3

1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 761-5000

Other practice location 4

17844 E 23rd St S
Independence, MO 64057-1840
Phone (816) 254-3652

Other practice location 5

2415 W Catalpa St
Springfield, MO 65807-1123
Phone (417) 864-4576

Other practice location 6

323 E Grand St
Springfield, MO 65807-1447
Phone (417) 761-5600

Other identifiers 1

IdentifierTypeStateIssuer
420031052MedicaidMO

Other names 1

  • Hillary L Farmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160503001643 MO Practitioner - Nurse Practitioner 7214236884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians

Practice addresses (Care Compare)

323 E Grand St
Springfield, MO 65807-1447
Phone (417) 761-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101.0136657VTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince Aug 1, 2025 Accepting new patients
Rutland Mental Health Services, Inc. PastSince Jun 1, 2025 Accepting new patients

Locations

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

210 Hoover Rd
Jefferson City, MO 65109
Phone (573) 632-4321

900 E Laharpe St
Kirksville, MO 63501

4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630

2415 W Catalpa St
Springfield, MO 65807
Phone (417) 862-3455

2411 W Catalpa St
Springfield, MO 65807
Phone (417) 862-3455

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1629437504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5214",
            "fax_number": "417-761-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W CATALPA ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071123",
            "telephone_number": "417-862-3455",
            "fax_number": "417-864-4576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4066 Dunnica Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631163510",
            "country_code": "US",
            "telephone_number": "636-224-1700",
            "fax_number": "314-535-5917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Berrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018372",
            "country_code": "US",
            "telephone_number": "573-777-8330",
            "fax_number": "573-777-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 E Bradford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044264",
            "country_code": "US",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17844 E 23rd St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571840",
            "country_code": "US",
            "telephone_number": "816-254-3652",
            "fax_number": "816-254-9243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 W Catalpa St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658071123",
            "country_code": "US",
            "telephone_number": "417-864-4576",
            "fax_number": "417-761-5410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 E Grand St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658071447",
            "country_code": "US",
            "telephone_number": "417-761-5600",
            "fax_number": "417-761-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "HILLARY",
        "middle_name": "L",
        "credential": "FPMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2016005195",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0136657",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420031052",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "FARMER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.