Jayme Gray
Individual provider Active NPI Family Nurse Practitioner · Panhandle, TX
NPI 1700629136 · NPPES record last updated Aug 25, 2024
Key facts
- NPI
- 1700629136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1171185 (TX)
- Practice address
- 102 US Highway 60
Panhandle, TX 79068-7200 - Phone
- (806) 532-2273
- NPI assigned
- Jun 14, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amarillo Family Physicians Clinic, P.a.
Practice addresses (Care Compare)
1215 S Coulter
Suite 100
Amarillo, TX 79106-1761
1215 S Coulter St
Amarillo, TX 79106-1761
Phone (806) 359-4701
Hospital & facility affiliations
- Bsa Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906003047 | TX | Practitioner - Nurse Practitioner | 0941740716 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 820065 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panhandle Family Care LLC | Current |
Accepting new patients | |
| Panhandle Family Care LLC | Current |
Accepting new patients | |
| Amarillo Family Physicians Clinic, P.a. | Current |
Accepting new patients |
Locations
1215 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 359-4701
7561 Outlook Dr
Amarillo, TX 79106
Phone (806) 359-4701
1600 S FM 2381
Bushland, TX 79124
Phone (806) 310-9853
Interoperability endpoints
- https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
- jaymegray@afpcpa.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 820065 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1171185 | TX | Yes |
Addresses
Primary practice location
102 US Highway 60
Panhandle, TX 79068-7200
Mailing address
1016 S Rusk St
Amarillo, TX 79102-1323
Phone (806) 640-7483
Other providers in Panhandle, TX
- Kaylin Dawn Chase-Henley
- City of Panhandle
- Whitley Clay
- Alyssa Crawford
- Cheryl Renee Gergens
- Malesa Barnes Gray
- Kayla Haines
- Holly L Jeffreys
- Ashley Kops
- Krogh Family Wellness Center, PLLC
All providers in Panhandle, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.