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

Randall Gray, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912718768

Randall Gray, PMHNP-BC is a Nurse Practitioner in Anderson, Indiana. Qualified in 2024, 2 years ago. Practices with Jane Pauley Community Health Center Inc, a 77-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1229 Lincoln St
Anderson, IN 46016-1693
Phone: (765) 313-9850
Fax: (765) 649-9185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 28158270C (IN)

Record details

NPI number1912718768
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedJanuary 20, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Jane Pauley Community Health Center Inc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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