Individual provider Active NPI

Megan Marie Ray

  • Nurse Practitioner
  • Treasure Island, FL
National Provider Identifier
1144072406
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11032111 Issued in FL
Practice address
10355 Paradise Blvd Apt 310
Treasure Island, FL 33706-3157
Phone
(502) 415-3959
NPI assigned
Apr 2, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11032111 FL Primary

Addresses

Primary practice location

10355 Paradise Blvd Apt 310
Treasure Island, FL 33706-3157

Mailing address

10355 Paradise Blvd Apt 310
Treasure Island, FL 33706-3157
Phone (502) 415-3959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241210003922 FL Practitioner - Nurse Practitioner 6002342318 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032111FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Mission Wound Care Florida PLLC CurrentSince Aug 25, 2025 Accepting new patients
Premier Health Care Inc CurrentSince Nov 11, 2024 Accepting new patients

Locations

218 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 345-0160

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

225 Matlage Way
Unit 31
Sugar Land, TX 77487

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1144072406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10355 PARADISE BLVD APT 310",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063157",
            "telephone_number": "502-415-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10355 PARADISE BLVD APT 310",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063157",
            "telephone_number": "502-415-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11032111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Treasure Island, FL

Sources for this page

Verify at the official NPI Registry.