Miss Katelynn Marie Gray, CNP - Medicare Nurse Practitioner in Rapid City, SD

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Miss Katelynn Marie Gray, CNP is a medicare enrolled "Nurse Practitioner - Family" in Rapid City, South Dakota. Her current practice location is 2805 5th St, Rapid City, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 755-5700.

Miss Katelynn Marie Gray is licensed to practice in South Dakota (license number CP002506) 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 1548981368.

Contact Information

Miss Katelynn Marie Gray, CNP
2805 5th St,
Rapid City, SD 57701-6003
(605) 755-5700
Not Available

Map and Direction




Provider's Profile

Full NameMiss Katelynn Marie Gray
GenderFemale
SpecialityNurse Practitioner - Family
Location2805 5th St, Rapid City, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548981368
  • Provider Enumeration Date: 09/09/2022
  • Last Update Date: 09/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537538640
  • Enrollment ID: I20240409002590

Medical Identifiers

Medical identifiers for Miss Katelynn Marie Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548981368NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family CP002506 (South Dakota)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. Miss Katelynn Marie Gray allows following entities to bill medicare on her behalf.
Entity NameGreat Plains Tribal Chairmens Health Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376105452
PECOS PAC ID: 0648609917
Enrollment ID: O20200408001014

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. Miss Katelynn Marie 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
Miss Katelynn Marie Gray, CNP
13959 Telluride St,
Summerset, SD 57769-6207

Ph: (605) 431-0218		Miss Katelynn Marie Gray, CNP
2805 5th St,
Rapid City, SD 57701-6003

Ph: (605) 755-5700

Reviews and Comments


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Maria Sargent, CNP
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Jessica Buckley, CNP
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Morgan Folchert, CNP
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Paulette A Kirby, FNP
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Practice Location: 811 Columbus St, Rapid City, SD 57701
Phone: 605-343-3007    

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.