Individual provider Active NPI

Samantha M Gray, FNP-C

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1124370010
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000634 Issued in DE
Practice address
2600 Glasgow Ave Ste 124
Newark, DE 19702-4777
Phone
(302) 836-4200
Fax
(302) 836-8431
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000634 DE Primary

Addresses

Primary practice location

2600 Glasgow Ave Ste 124
Newark, DE 19702-4777

Mailing address

405 Silverside Rd Ste 111
Wilmington, DE 19809-1768
Phone (302) 798-0666

Other practice location 1

86 Omega Dr Ste 86
Newark, DE 19713-2065
Phone (302) 738-5500

Other practice location 2

405 Silverside Rd Ste 111
Wilmington, DE 19809-1768
Phone (302) 798-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20121116000150 DE Practitioner - Nurse Practitioner 2264683440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Care Physicians, P.a.Group PAC ID 6901870948, 10 clinicians

Practice addresses (Care Compare)

2600 Glasgow Ave
Suite 124
Newark, DE 19702-4777
Phone (302) 836-4200

Hospital & facility affiliations

  • Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Physicians, P.a. CurrentSince Oct 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

86 Omega Dr
Ste 86
Newark, DE 19713
Phone (302) 738-5500

2600 Glasgow Ave
Ste 124
Newark, DE 19702
Phone (302) 332-3312

405 Silverside Rd
Ste 111
Wilmington, DE 19809
Phone (302) 798-0666

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28224/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samantha.gray.1@28224.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1124370010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SILVERSIDE RD STE 111",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091768",
            "telephone_number": "302-798-0666",
            "fax_number": "302-798-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 124",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024777",
            "telephone_number": "302-836-4200",
            "fax_number": "302-836-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Omega Dr Ste 86",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132065",
            "country_code": "US",
            "telephone_number": "302-738-5500",
            "fax_number": "302-738-9449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Silverside Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198091768",
            "country_code": "US",
            "telephone_number": "302-798-0666",
            "fax_number": "302-798-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.