Individual provider Active NPI

Chirise Gray, AGNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1992248249
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP132622 Issued in TX
Practice address
2110 N Willis St, Suite B
Abilene, TX 79603
Phone
(325) 232-8675
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP132622 TX
Gerontology Nurse Practitioner 363LG0600X AP132622 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132622 TX Primary

Addresses

Primary practice location

2110 N Willis St, Suite B
Abilene, TX 79603

Mailing address

7021 Kewanee Ave
Lubbock, TX 79424-7048
Phone (888) 622-6755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170327000128 TX Practitioner - Nurse Practitioner 4789969114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allan J McCorkle MdpaGroup PAC ID 9537233978, 6 clinicians

Practice addresses (Care Compare)

9 Medical Dr
Amarillo, TX 79106-4137
Phone (806) 352-2731

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as group
Quality
89.34
Improvement activities
40
Cost
49.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AP132622TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allan J. McCorkle, M.D.,P.a. CurrentSince Jul 1, 2017 Accepting new patients
Dr Tim Martin MD PLLC Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients

Locations

1751 N 15th St
Abilene, TX 79603
Phone (325) 673-3531

3 Medical Dr
Ste A
Amarillo, TX 79106
Phone (806) 355-1313

7021 Kewanee Ave
Unit 6104
Lubbock, TX 79424
Phone (806) 355-1313

Interoperability endpoints

  • Direct secure messaging: cgray@lonestar.directbygreenway.com

Organizations & group practices 3

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": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1992248249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 KEWANEE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247048",
            "telephone_number": "888-622-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N WILLIS ST, SUITE B",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79603",
            "telephone_number": "325-232-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CHIRISE",
        "credential": "AGNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP132622",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP132622",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.