Alexander Gustav Wray, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13023 Issued in MN

Practice address

4855 W Arrowhead Rd
Hermantown, MN 55811-3936

Phone

(218) 786-3540

NPI assigned

Jul 29, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gunnison Valley HospitalGroup PAC ID 8426040486, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gunnison Valley Health Home Medical Services Home health agency, Gunnison, CO, CCN 067191
• Gunnison Valley Hospital Hospital, Gunnison, CO, CCN 061320
• Montrose Regional Health Hospital, Montrose, CO, CCN 060006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexander.wray.1@11629.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, CO
  • NPI 1932109048
  Medicare reassignment Care Compare group NPD
• Gunnison Valley Hospital

  dba Gunnison Valley Urgent Care Center

  • Urgent Care Clinic/Center
  • Gunnison, CO
  • NPI 1477361228
  NPD
• Gunnison Valley Hospital

  dba Gunnison Valley Hospital ENT

  • Otolaryngology Physician
  • Gunnison, CO
  • NPI 1568294809
  NPD
• Gunnison Valley Hospital

  dba Gunnison Valley Health Family Medicine Clinic

  • Primary Care Clinic/Center
  • Gunnison, CO
  • NPI 1578997284
  NPD
• The Duluth Clinic, LTD

  dba Essentia Health Ashland Clinic

  • Multi-Specialty Clinic/Center
  • Ashland, WI
  • NPI 1215974357
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gunnison Valley Health Senior Care Center

  dba Gunnison Valley Health Home Medical Services

  • Home Health Agency
  • Gunnison, CO
  • NPI 1083831010
  Care Compare affiliation
• Gunnison Valley Hospital

  dba Gunnison Valley Health Mountain Clinic

  • Urgent Care Clinic/Center
  • Crested Butte, CO
  • NPI 1134754153

  Hospital

  Care Compare affiliation
• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, CO
  • NPI 1932109048
  Care Compare affiliation
• Montrose Memorial Hospital, Inc

  dba Montrose Regional Health

  • General Acute Care Hospital
  • Montrose, CO
  • NPI 1205822186
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1033763040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N IOWA ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302229",
            "telephone_number": "970-641-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 W ARROWHEAD RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113936",
            "telephone_number": "218-786-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "ALEXANDER",
        "middle_name": "GUSTAV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Williams
• Amanda K Wilson, PT
• Steven Dennis Wilson
• James Rayne Winters
• Jordyn Marie Woods
• Olivia Wright
• Brianna Diane Wuertz
• Meghan Joyce Yates
• Makenna Christina Zerwas
• Lacie Ann Zoeller

• Physician Assistant in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.