Shelley Wray (NPI# 1447649975, PAC ID# 4183943657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447649975 |
| PAC ID by PECOS | 4183943657 |
| Professional Enrollment ID | I20150505000995 |
| Full Name | Shelley Wray |
| Organization Legal Name | CROSSPOINTE MENTAL HEALTH LLC |
| Address |
1363 Fillmore St Twin Falls ID 83301-3392 |
| Phone Number | 2087367090 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921257130 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130002 | ST LUKE'S MAGIC VALLEY RMC |
| Address | Phone | Organization |
|---|---|---|
| 1363 Fillmore St, Twin Falls, ID 83301-3392 | 2087367090 | CROSSPOINTE MENTAL HEALTH LLC |
| Organization Legal Name | CROSSPOINTE MENTAL HEALTH LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon L Wilson | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Carolyn L Jones | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Patricia L Hutchinson | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Justine Sweet | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Theodore Gardner | Clinical Psychologist | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Mark Ellis | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Joey Edith Victoria Lopez | Physician Assistant | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Street Address |
1363 FILLMORE ST |
| City | TWIN FALLS |
| State | ID |
| Zip | 83301-3392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon L Wilson | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Carolyn L Jones | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Patricia L Hutchinson | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Justine Sweet | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Theodore Gardner | Clinical Psychologist | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Mark Ellis | Clinical Social Worker | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Joey Edith Victoria Lopez | Physician Assistant | Crosspointe Mental Health LLC | 1363 Fillmore St, Twin Falls, ID 83301-3392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
| Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Find all physicians in zip 83301 | |||
| City | TWIN FALLS |
| Zip Code | 83301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TWIN FALLS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shelley Wray.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.