Rebecca Lynne Gray, CNP
Individual provider Active NPI Family Nurse Practitioner · Wyoming, MN
NPI 1962448969 · NPPES record last updated Feb 18, 2026
Key facts
- NPI
- 1962448969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4514 (MN)
- Practice address
- 5200 Fairview Blvd
Wyoming, MN 55092 - Phone
- (651) 982-7600
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Health Services
Practice addresses (Care Compare)
5200 Fairview Blvd
Wyoming, MN 55092-8013
911 Northland Dr
Princeton, MN 55371-2172
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Hospital & facility affiliations
- Fairview Lakes Health Services
- St Croix Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 82.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WI, MN
- 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 |
|---|---|---|---|---|
| I20050624001013 | WI | Practitioner - Nurse Practitioner | 8820033244 | Reassigns benefits to 1 organization |
| I20111110000599 | MN | Practitioner - Certified Nurse Midwife (CNM) | 8820033244 | Reassigns benefits to 2 organizations |
| I20120406000180 | MN | Practitioner - Nurse Practitioner | 8820033244 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2615-33 | WI | MD | Nurse Practitioner |
| 2615 | WI | MD | Women's Health Nurse Practitioner |
| 303 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current |
Accepting new patients | |
| St. Croix Regional Medical Center | Current |
Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Healtheast Medical Research Insititue | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| St. Croix Regional Medical Center | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| St. Croix Regional Medical Center | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1500 Curve Crest Blvd W
Stillwater, MN 55082
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
Interoperability endpoints
- rgray402053@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 2615 | WI | |
| Family Nurse Practitioner | 363LF0000X | 4514 | MN | Yes |
| Advanced Practice Midwife | 367A00000X | 303 | MN | |
| Nurse Practitioner | 363L00000X | 2615-33 | WI |
Addresses
Primary practice location
5200 Fairview Blvd
Wyoming, MN 55092
Mailing address
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7600
Other practice location 1
730 10th Ave
Baldwin, WI 54002-9416
Phone (715) 684-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2615 | Other | WI | STATE MEDICAL LICENSE |
| 38168 | Other | MT | STATE MEDICAL LICENSE |
| 106194 | Other | WI | STATE MEDICAL LICENSE |
| 41265200 | Medicaid | WI | |
| R118279-4 | Other | MN | STATE MEDICAL LICENSE |
Other names
- Rebecca Lynne Wester
Other providers in Wyoming, MN
- Erica Gloppen
- Brianna Marie Glynn
- Trevor Ryan Goldsmith
- Maria Marcella Gozzi Benson
- Graceful Living, LLC
- Fallon Hagy
- Nicole Lynn Hahn
- Crystal Sue Hambley
- Sarah Marie Harbeck
- Taylor Anne Hastings
All providers in Wyoming, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2026. 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.