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Deactivated NPI 1528233129 Deactivated / Inactive NPI Female Practitioner

Staci Ann Gray , PA-C

Physician Assistant • Omaha, NE

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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.

Registration / Start Date April 24, 2008
NPI Deactivation Date March 12, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

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

Practice Address

16811 Burke St
Suite 101

Omaha, NE 681182253

Telephone 4025737337
Fax 4026142314
Associated Practice Facility / Clinic
🏢 Village Pointe Pediatrics, Pc Facility NPI 1447471610

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
552 Specialists

Practicing in Omaha, NE (1366 Statewide)

Telehealth Adoption Rate
12.7% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 652

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

12 Associated Practitioners
NPI 1063154151

Doctor of Medicine (M.D.)

Melissa Schembari , RN, MSN, CPNP

Nurse Practitioner - Pediatrics

NPI 1093049116

Registered Nurse, Master of Science in Nursing, Certified Pediatric Nurse Practitioner

NPI 1104991116

Doctor of Medicine (M.D.)

NPI 1114288370

Doctor of Medicine (M.D.)

NPI 1124187984

Doctor of Medicine (M.D.)

NPI 1356416358

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 12, 2026

Record deactivated on March 12, 2026

NPI Profile Active August 28, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 28, 2008

Registered at 16811 BURKE ST, SUITE 101, OMAHA, NE 681182253 (Tel: 4025737337)

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Updated Business Mailing Address August 28, 2008

Registered at 16811 BURKE ST, SUITE 101, OMAHA, NE 681182253 (Tel: 4025737337)

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Provider Name / Credentials Updated August 28, 2008

Recorded as STACI GRAY, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2008

Physician Assistant (License #652 in NE)

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Initial NPI Registration & Enumeration April 24, 2008

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: 1528233129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2008
Last Update: August 28, 2008
Deactivation Date: March 12, 2026

Mailing Address

16811 Burke St, Suite 101

Omaha, NE 681182253

Phone: 4025737337

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.