REBECCA LYNNE GRAY CNP NPI 1962448969

NPI Information

  • NPI: 1962448969
  • Provider Name: REBECCA LYNNE GRAY, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5200 FAIRVIEW BLVD
    WYOMING, MN
    ZIP 55092
  • Phone: (651) 982-7600

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NPI Details

Rebecca Lynne Gray, CNP is a family nurse practitioner in Wyoming, MN. Rebecca Lynne Gray, CNP NPI is 1962448969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5200 FAIRVIEW BLVD
WYOMING, MN
ZIP 55092
Phone: (651) 982-7600

The NPI 1962448969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)

The enumeration date for this NPI number is 6/20/2006 and was last updated on 2/18/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health2615WISCONSINNo
2363LF0000XNurse PractitionerFamily4514MINNESOTAYes
3367A00000XAdvanced Practice Midwife303MINNESOTANo
4363L00000XNurse Practitioner2615-33WISCONSINNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12615OTHERWISCONSINSTATE MEDICAL LICENSE
238168OTHERMONTANASTATE MEDICAL LICENSE
3106194OTHERWISCONSINSTATE MEDICAL LICENSE
441265200MEDICAIDWISCONSIN
5R118279-4OTHERMINNESOTASTATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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