| Ms Stephanie R Gray, ARNP | |
|
801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 | |
| (712) 328-2609 | |
| (712) 328-9257 |
| Full Name | Ms Stephanie R Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 801 Harmony St, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598786097 | NPI | - | NPPES |
| I87040089 | Other | IA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 098610 (Iowa) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 098610 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health - Mercy Corning | Corning, IA | Hospital |
| Clarinda Regional Health Center | Clarinda, IA | Hospital |
| Shenandoah Medical Center | Shenandoah, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waubonsie Mental Health Center Inc | 1658262415 | 6 |
| Entity Name | New Century Physicians Of Iowa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548269301 PECOS PAC ID: 4880587070 Enrollment ID: O20040203000297 |
| Entity Name | Waubonsie Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376698837 PECOS PAC ID: 1658262415 Enrollment ID: O20040322001214 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie R Gray, ARNP Po Box 642117, Omaha, NE 68164-8117 Ph: (402) 398-6255 | Ms Stephanie R Gray, ARNP 801 Harmony St, Suite 302, Council Bluffs, IA 51503-3106 Ph: (712) 328-2609 |
Jennifer L Achenbach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-325-2484 | |
Mallory Lloyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-740-6503 | |
Michelle Rude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069 | |
Laura M Ayers, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 103 North Ave Ste 8, Council Bluffs, IA 51503 Phone: 712-796-2545 Fax: 712-847-6095 | |
Shannon Ranae Stafford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501 Phone: 712-322-6650 Fax: 712-328-7985 | |
Brian Luedke, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069 | |
Ms. Emily Wickham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501 Phone: 712-325-0022 |