Active NPI
Nichole Wray, CRNA
- Certified Registered Nurse Anesthetist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 17866
- Practice address
- 6019 Walnut Grove Rd
Memphis, TN 38120-2113 - Phone
- (901) 226-5000
- NPI assigned
- May 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000181205 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 17866 | TN | Primary |
Addresses
Primary practice location
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Mailing address
1900 Exeter Rd Ste 210
Germantown, TN 38138-2954
Phone (901) 818-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1211 S Gloster St
Suite B
Tupelo, MS 38801-6548
Phone (662) 432-1490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000181205 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Tupelo Anesthesia Group PA | Current | Accepting new patients | |
| DHS Anesthesia, LLC | Current | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
589 Garfield St
Tupelo, MS 38801
Phone (601) 680-5565
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
1211 S Gloster St
Ste B
Tupelo, MS 38801
Phone (662) 266-1670
Interoperability endpoints
- nicholewray@nmhs.medalliesdirect.net
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.
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1184147431
-
- Anesthesiology Physician
- Amory, MS
- NPI 1619559309
-
- Certified Registered Nurse Anesthetist
- Oxford, MS
- NPI 1205169521
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Amory, MS
- NPI 1386433860
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1730524794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 EXETER RD STE 210",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382954",
"telephone_number": "901-818-2160",
"fax_number": "901-682-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202113",
"telephone_number": "901-226-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-05",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000181205",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "17866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.