Carly Gray, NP - Medicare Nurse Practitioner in La Grande, OR

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Carly Gray, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in La Grande, Oregon. Her current practice location is 506 4th St, La Grande, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 663-3138.

Carly Gray is licensed to practice in Oregon (license number 201503486NP-PP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962804641.

Contact Information

Carly Gray, NP
506 4th St,
La Grande, OR 97850
(541) 663-3138
(541) 975-5120

Map and Direction




Provider's Profile

Full NameCarly Gray
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location506 4th St, La Grande, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962804641
  • Provider Enumeration Date: 09/24/2014
  • Last Update Date: 07/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6204149867
  • Enrollment ID: I20150724012415

Medical Identifiers

Medical identifiers for Carly Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962804641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health NP-1503A (Idaho)Secondary
363LA2200XNurse Practitioner - Adult Health 201503486NP-PP (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carly Gray allows following entities to bill medicare on her behalf.
Entity NameGrande Ronde Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467446195
PECOS PAC ID: 0547170789
Enrollment ID: O20031124000758

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Gray is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carly Gray, NP
Po Box 3290,
La Grande, OR 97850-7290

Ph: (541) 963-1967		Carly Gray, NP
506 4th St,
La Grande, OR 97850

Ph: (541) 663-3138

Reviews and Comments


Nurse Practitioner Nurses in La Grande, OR

Jennifer Marie Province,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 University Blvd, La Grande, OR 97850
Phone: 541-962-3803    
Dr. Pamela M Mcwhirter, DNP, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 700 Sunset Dr, La Grande, OR 97850
Phone: 541-663-3030    Fax: 541-975-5201
Dr. Gary Robert Laustsen, FNP, PHD
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 University Blvd, La Grande, OR 97850
Phone: 541-962-3132    
Heather Wiggins, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 University Blvd, La Grande, OR 97850
Phone: 541-962-3825    
Scott Alden Widener, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 900 Sunset Dr, La Grande, OR 97850
Phone: 541-963-1412    Fax: 541-963-1488
Jacqui Kleeman, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 101 Depot St, La Grande, OR 97850
Phone: 541-963-3772    
Ms. Jessica Eileen Martin, MSN, RN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 506 4th St, La Grande, OR 97850
Phone: 541-663-3138    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.