Nicole Gray
NPI 1790349462ActiveIndividual· Nurse Practitioner, Family· White Hall, AR
Nurse Practitioner, Family with Jefferson Hospital Association, Inc and 1 other group, practicing in White Hall, Arkansas. 112 Medicare patients in 2024, $12,247 paid; nearly all of their 282 Part D prescriptions were generic (95%). Astrazeneca Pharmaceuticals LP reported $19.60 in payments in 2025, mostly food and beverage. Lists Jefferson Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1790349462 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 27, 2019 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | A006211 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 112 |
|---|---|
| Services billed | 929 across 39 procedure codes |
| Paid by Medicare | $12,247 |
Part D prescriptions in 2024
| Prescriptions (claims) | 282 · 284 30-day fills |
|---|---|
| Patients | 182 |
| Total drug cost | $2,564 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Jefferson Hospital Association, IncPine Bluff, AR · 82 clinicians
- Southeast Arkansas Emergency Physicians LLPPine Bluff, AR · 16 clinicians
Hospital affiliation
- Jefferson Regional Medical CenterPine Bluff, AR
Industry payments (Open Payments)
- 2025$19.60 · 1 payment from 1 company
- 2024$18.96 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $19.60 | 1 |
What the 2025 payments were for
- Food and Beverage$19.60 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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