Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicodee Simone Gray-Brooks

Individual provider Family Nurse Practitioner · NPI 1710540554

Nicodee Simone Gray-Brooks is a Nurse Practitioner in Mount Vernon, New York. Qualified in 2019, 7 years ago. Practices with CT Medical Group Inc, a 36-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

153 Stevens Ave
Mount Vernon, NY 10550-2543
Phone: (914) 668-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 344329 (NY)

Record details

NPI number1710540554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESApril 17, 2019
Mailing address29 Adamson Ave, Norwalk, CT 06854-4601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ct Medical Group Inc. — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon