Olivia Lee Gray
Individual provider Active NPI Physician Assistant · Wellsburg, WV
NPI 1073117685 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1073117685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2530 (WV)
- Practice address
- 1006 Commerce St
Wellsburg, WV 26070-1567 - Phone
- (304) 737-4435
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wheeling Hospital Inc
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6379
1421 Commerce St
Wellsburg, WV 26070-1320
Phone (304) 737-3425
1423 Commerce St
Wellsburg, WV 26070-1320
Phone (304) 737-0816
1429 Commerce St
Unit 2
Wellsburg, WV 26070-1320
Phone (304) 737-4435
Hospital & facility affiliations
- Wheeling Hospital, Inc
- Weirton Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211014000279 | WV | Practitioner - Physician Assistant | 4587062070 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital Inc | Current |
Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients |
Locations
1006 Commerce St
Wellsburg, WV 26070
Phone (304) 737-0321
1429 Commerce St
Unit 2
Wellsburg, WV 26070
Phone (304) 737-3425
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2530 | WV | Yes |
Addresses
Primary practice location
1006 Commerce St
Wellsburg, WV 26070-1567
Mailing address
1006 Commerce St
Wellsburg, WV 26070-1567
Phone (304) 737-4435
Other providers in Wellsburg, WV
- Melissa Fulks
- Cherie Fullerton
- Vicki Galloway
- Lesli Giordano
- Hannah Given
- Keri Griffith
- Susan Haney
- Lesli Lauffer Harvath
- Tricia Ann Hays-Lamantia
- Melinda Helt
All providers in Wellsburg, WV · Physician Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.