Staci Ann Gray , PA-C
Physician Assistant • Omaha, NE
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Staci Gray has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Staci Gray, PA-C was a registered Physician Assistant practicing in Omaha, NE. Throughout an active medical career spanning 18 years, Staci Gray provided care at the practice location at 16811 BURKE ST until profile deactivation on 2026-03-12.
Practice Location & Contact Primary Location
16811 Burke St
Suite 101
Omaha, NE 681182253
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Omaha, NE
Practicing in Omaha, NE (1366 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Nurse Practitioner - Pediatrics
Registered Nurse, Master of Science in Nursing, Certified Pediatric Nurse Practitioner
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 12, 2026
NPI status registered as active in NPPES database
Registered at 16811 BURKE ST, SUITE 101, OMAHA, NE 681182253 (Tel: 4025737337)
Registered at 16811 BURKE ST, SUITE 101, OMAHA, NE 681182253 (Tel: 4025737337)
Recorded as STACI GRAY, PA-C
Physician Assistant (License #652 in NE)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
16811 Burke St, Suite 101
Omaha, NE 681182253
Phone: 4025737337
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