Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275392003 Individual Practitioner Female Practitioner

Nicole Gray

Nurse Practitioner - Neonatal • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Nicole Gray is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Minneapolis, MN. Practice services are available at 2450 RIVERSIDE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2450 Riverside Ave

Minneapolis, MN 554541450

Telephone 6123651000
Associated Practice Facility / Clinic
🏢 Fairview Health Services Facility NPI 1013994359

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
66 Specialists

Practicing in Minneapolis, MN (131 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-14
Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License MN 11394

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Pedro Bernal , PA-C

Physician Assistant - Medical

NPI 1053188649

Physician Assistant (Certified)

Casey Peterson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063752806

Certified Registered Nurse Anesthetist

Alexis Rupp

Nurse Anesthetist, Certified Registered

NPI 1073065538
Mary Osborne , CNP

Nurse Practitioner - Pediatrics

NPI 1093400715

Certified Nurse Practitioner

Jordan Popp , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104421775

Certified Registered Nurse Anesthetist

Kayla Kremer , MS, APRN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1134845282

Master of Science, Advanced Practice Registered Nurse, Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2024

Registered at 2450 RIVERSIDE AVE, MINNEAPOLIS, MN 554541450 (Tel: 6123651000)

📍
Updated Business Mailing Address March 14, 2024

Registered at 1486 309TH LN NE, CAMBRIDGE, MN 550086809 (Tel: 7632445256)

👤
Provider Name / Credentials Updated March 14, 2024

Recorded as NICOLE GRAY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2024

Nurse Practitioner (License #11394 in MN)

🟢
Initial NPI Registration & Enumeration March 14, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275392003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2024
Last Update: March 14, 2024
Sole Proprietor: No

Mailing Address

1486 309th Ln Ne

Cambridge, MN 550086809

Phone: 7632445256

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.