Ebonie Gray, RN, APNP, FNP-BC - Medicare Nurse Practitioner in Kenosha, WI

Ebonie Gray, RN, APNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Kenosha, Wisconsin. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 3710 57th Ave, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 652-1474.

Ebonie Gray is licensed to practice in Wisconsin (license number 4309-33) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1982840757.

Contact Information

Ebonie Gray, RN, APNP, FNP-BC
3710 57th Ave,
Kenosha, WI 53144-4820
(262) 652-1474
Not Available

Map and Direction




Provider's Profile

Full NameEbonie Gray
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location3710 57th Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ebonie Gray graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1982840757
  • Provider Enumeration Date: 12/30/2008
  • Last Update Date: 04/21/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1759564370
  • Enrollment ID: I20260608001993

Medical Identifiers

Medical identifiers for Ebonie Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982840757NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 137516-030 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 4309-33 (Wisconsin)Primary

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. Ebonie 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
Ebonie Gray, RN, APNP, FNP-BC
3710 57th Ave,
Kenosha, WI 53144-4820

Ph: (262) 652-1474
Ebonie Gray, RN, APNP, FNP-BC
3710 57th Ave,
Kenosha, WI 53144-4820

Ph: (262) 652-1474

Reviews and Comments


Nurse Practitioner Nurses in Kenosha, WI

Leigh Braun,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2707 15th Pl, Kenosha, WI 53140
Phone: 262-551-2700    
Mrs. Susan H. Pergande, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-6714    
Carly Worden, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2707 15th Pl, Kenosha, WI 53140
Phone: 262-551-2700    
Guadalupe Orlando Romero, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4777 88th Ave, Kenosha, WI 53144
Phone: 262-605-5253    Fax: 262-605-5903
Christine Marie Foster, APNP, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6525 Green Bay Rd Ste 2, Kenosha, WI 53142
Phone: 262-999-3495    Fax: 262-821-6180
Alejandra Moore, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142
Phone: 262-764-5595    Fax: 262-764-9314
Quentin R Kasuboski, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142
Phone: 262-697-7000    Fax: 630-734-1560

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.